運用決策實驗室分析法探討內科住院醫師執行醫病共享決策之關鍵能力

Shared decision-making (SDM) is a concept of patient-centered care. This study aims to construct an evaluation index for the professional competence of internal medicine residents to perform SDM. Literature reviews and expert consultation put forward four aspects and 16 criteria. Residents from Chiayi and Kaohsiung Chang Gung Memorial Hospital were enrolled utilizing a questionnaire survey. The causal relationships between each aspect and criteria were analyzed using the Decision Making and Trial Evaluation Laboratory (DEMATEL). The results demonstrate that the assessment of conception is the dominant aspect. Concepts, decision-making processes, verbal and non-verbal communication, and tracking of medical decisions are the dominant criteria for each aspect. From the viewpoint of internal medicine residents, SDM concept evaluation is a critical driving factor. Through the systematic network architecture model, it is helpful to clarify the professional competence of internal medicine residents to implement SDM and provide improvement strategies.