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ORIGINAL RESEARCH article

Front. Med.
Sec. Regulatory Science
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1418917

Shared decision-making implementation status among dermatologists engaging in medical aesthetics: A cross-sectional study in China

Provisionally accepted
SIyuan Li SIyuan Li 1,2*Jing Fan Jing Fan 3Yan Qiang Yan Qiang 1Zhen Duan Zhen Duan 2Albert Wu Albert Wu 3Ruiping Wang Ruiping Wang 1*
  • 1 Shanghai Skin Disease Hospital, shanghai, China
  • 2 Shanghai University of Traditional Chinese Medicine, Shanghai, China
  • 3 Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States

The final, formatted version of the article will be published soon.

    Objective: Shared decision making (SDM) is a collaborative process in which patients and healthcare providers jointly make a medical decision. This cross-sectional study aims to identify the implementation status of shared decision-making among dermatologists engaging in medical aesthetics in China and to identify factors associated with the good practice of SDM among them.From January to June 2023, A total of 1287 dermatologists engaging in medical aesthetic in China were recruited and completed the online interviews about their implementation of SDM based on the Shared Decision-Making Questionnaire for doctors (SDM-Q-Doc). Logistic regression was used to calculate the odds ratio (OR) and 95% confidence interval (CI) to explore factors associated with the higher SDM score achievement among dermatologists with medical aesthetic practice.The median value of the total SDM score was 39, and 48% (621/1278) of dermatologists with medical aesthetic practice achieved at least 40 out of 45 scores. Logistic regression indicated that dermatologists aged 40-49, or aged ≥50 and engaging in medical aesthetic practice for ≥5 years were more likely to have a higher proportion of achieving at least 40 out of 45 scores compared with dermatologists aged <30 and with less than 5 years of medical aesthetic practice, the OR was respectively 1.82 (95% CI: 1.13-3.12) , 1.94 (95% CI: 1.13-3.61) and 1.76 (95% CI: 1.34-2.31).The SDM implementation level among Chinese dermatologists engaging in medical aesthetics is high, especially for those with older age and more years of practice. So it is highly recommended to promote and enhance SDM practice among younger dermatologists engaging in medical aesthetics with less working experience.

    Keywords: Medical aesthetic, Cross sectional study, good practice, Implementation status, shared decision making

    Received: 17 Apr 2024; Accepted: 16 Jul 2024.

    Copyright: © 2024 Li, Fan, Qiang, Duan, Wu and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    SIyuan Li, Shanghai Skin Disease Hospital, shanghai, China
    Ruiping Wang, Shanghai Skin Disease Hospital, shanghai, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.