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Physician–patient shared decision making, patient satisfaction, and adoption of new health technology in China

Published online by Cambridge University Press:  02 October 2020

Yan Wei
Key Lab of Health Technology Assessment (Ministry of Health), School of Public Health, Fudan University, Shanghai, China
Jian Ming
Key Lab of Health Technology Assessment (Ministry of Health), School of Public Health, Fudan University, Shanghai, China
Lizheng Shi
School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA
Xiong Ke
School of Management, North Sichuan Medical College, Nanchong, China
Hui Sun
Key Lab of Health Technology Assessment (Ministry of Health), School of Public Health, Fudan University, Shanghai, China
Yingyao Chen*
Key Lab of Health Technology Assessment (Ministry of Health), School of Public Health, Fudan University, Shanghai, China
Author for correspondence: Yingyao Chen, E-mail:



To examine the association between physician–patient treatments shared decision making (SDM), patient satisfaction, and adoption of a new health technology.


A cross-sectional study was conducted from July 2016 to October 2016 in Fujian Province and Shanghai, in Eastern China. A total of 542 physicians and 619 patients in eleven hospitals were surveyed. Patients and their treating physicians completed self-reported questionnaires on patient–physician SDM, satisfaction with treatment decision making and adoption of a new health technology. Correlation analysis, multivariate logistic regression and multivariate linear regression were performed.


The majority (68.20 percent) of patients preferred SDM. Involvement of patients in SDM was positively associated with their satisfaction with treatment decision making (p < .001) and adoption of a new health technology (p < .05). Better concordance between their preference and actual SDM was positively associated with patients' adoption behavior (p < .05), but no statistically significant association was found between concordance and satisfaction.


SDM was the most important predictor of patients' satisfaction with decision making and adoption of a new health technology. Therefore, better communication between physicians and patients is recommended to improve their SDM, increase patient satisfaction and to assist with the adoption of new technologies. Training healthcare provider and teaching communication skills in working with patients in the initial stage of technology diffusion is required.

Copyright © The Author(s), 2020. Published by Cambridge University Press

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