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Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach

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  • Shan-Fu Yu

    (Division of Rheumatology, Allergy, and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan
    Division of Rheumatology, Allergy, and Immunology, Department of Internal Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan
    School of Medicine, College of Medicine, Chang Gung University, Tayouan 333, Taiwan
    Graduate Institute of Adult Education, National Kaohsiung Normal University, Kaohsiung 802, Taiwan)

  • Hui-Ting Wang

    (Graduate Institute of Adult Education, National Kaohsiung Normal University, Kaohsiung 802, Taiwan
    Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan)

  • Meng-Wei Chang

    (Graduate Institute of Adult Education, National Kaohsiung Normal University, Kaohsiung 802, Taiwan
    Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan)

  • Tien-Tsai Cheng

    (Division of Rheumatology, Allergy, and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan
    School of Medicine, College of Medicine, Chang Gung University, Tayouan 333, Taiwan)

  • Jia-Feng Chen

    (Division of Rheumatology, Allergy, and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan)

  • Chia-Li Lin

    (Department of International Business, Ming Chuan University, Taipei 111, Taiwan
    These authors contributed equally to this work.)

  • Hsing-Tse Yu

    (Department of Obstetrics and Gynecology, Taipei Chang Gung Memorial Hospital, Taipei 105, Taiwan
    These authors contributed equally to this work.)

Abstract

Shared decision making (SDM) is an interactive process that involves patients and their healthcare professionals reaching joint decisions about medical care through negotiation. As the initiators of medical decision-making in daily routine, physicians should be aware of and concerned about the SDM process. Thus, professional competency development for SDM has become increasingly critical for physicians’ training. Therefore, this study investigates the professional competency and the important competency development aspects/criteria of SDM tasks through expert interviews and literature research. The study adopts the SAA (satisfaction-attention analysis) method to assess the status of competency development aspects/criteria and determine the NRM (network relation map) based on the DEMATEL (decision-making trial and evaluation laboratory) technique. The results demonstrate that the CE (concept and evaluation) aspect is the dominant aspect, and the CR (communication and relationship) aspect is the aspect being dominated. The CE aspect influences the aspects of SP (skill and practice), JM (joint information and decision making) and CR, and the SP aspect affects the aspects of JM and CR. Then, the JM aspect affects the CR aspect. The study also suggests suitable adoption paths of competency development for SDM tasks using the NRM approach. It provides recommendations and strategic directions for SDM competency development and sustainable training programs.

Suggested Citation

  • Shan-Fu Yu & Hui-Ting Wang & Meng-Wei Chang & Tien-Tsai Cheng & Jia-Feng Chen & Chia-Li Lin & Hsing-Tse Yu, 2022. "Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach," IJERPH, MDPI, vol. 19(20), pages 1-23, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13310-:d:943302
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    References listed on IDEAS

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