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Jordanian physicians’ perceived barriers and facilitators to patient particpiation in treatment decision making.
Rana F. bO eidat, RN,CNS, PhD Faculty of Nursing, aZ rqa University
Jordan RF6-1 Track:3 Disclosure of interests: none Previous presentation of the paper: no

Background
oInformation exchange, promoting patient involvement in decision making about their cancer improves patient’s outcomes (e.g., satisfaction, ability to cope, health related quality of life …etc).
oBarriers to shared decision making im plementation: iT me constraints, lack of applicability due to patient characteristics, lack of applicability due to the clinical situation oFacilitators to shared decision making: Provider motivation, positive im pact on the clinical process, positive im pact on patient outcomes oLack of information on Jordanian physicians’ attitudes toward patient involvement
in medical decision making o Purpose: to determine Jordanian physicians’ perceived barriers and facilitators to
patient involvement in treatment decision making.

Methods
Design: A descriptive com parative research design
Sam ple: A convenience sam ple of 86 Jordanian medical and radiation oncologists and surgeons.
Setting: Three major teaching hospitals, three hospitals affiliated with Jordan Ministry of Health, King Hussein aC ncer Center, private clinics in the capital, Amman. Instrument: A modified version of a structured questionnaire used extensively in the literature, a valid measure of physicians’ views of shared decision making.
Data Analysis: SP for windows version 19.0. Descriptive and Inferential statistics were carried as appropriate.

Results and Conclusions
Barriers Insufficient time to spend with the patient (65.9%) Patient comes expecting a certain treatment rather than a consultation (65.8%) Patient does not want to particpiate in treatment decision making as much as I would him/her (62.8%)
Physicians in public hospitals: system related barriers (P = .03). Physicians in private settings: patient related barriers (P =.0).
Facilitators Patients trusting the physician  Having someone with them at the consultation Multpile barriers to patient involvement in treatment decision making.  A need to develop interventions that address both system - related and patient-related barriers to promote patient particpiation in decision making.

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Jordanian physicians’ ppppppppp pppppppp ppp pppppppppppp pp