Laura Spinnewijn

149 Supplementary files Observation form for Group meetings What is being done with patient opinions and preferences? Compare what one should ideally do vs. how patient preference is actually handled. The following items should at least be noted: A. Meeting - Type of meeting - Meeting duration (or case duration) - Persons present - Hierarchical constructs B. Cases - Patient characteristics: age, level of education, level of support by family/friends, symptoms - Phase of the trajectory: diagnosis, therapy, curation, palliation, ….) - Doctor’s role (directive, awaiting, …) - Case complexity / uncertainty / doubts - Type of information that must be explained to the patient - Are there multiple options being discussed? - Were patients interviewed about their opinions/preferences? C. SDM specific - Is it ‘done’ to introduce patient perspective in this meeting? - Who brings about patient perspective? Who does not? - Is Evidence Based Medicine used in this meeting? How is this balanced with individual patient characteristics/preferences? - Are protocols used in the meeting? How is this balanced with individual patient characteristics/preferences? D. Culture1 - Power distance - Uncertainty avoidance - Individualism vs. collectivism - Masculinity vs femininity - Long term vs. short term orientation - Indulgence vs. restraint E. Other - What other noticeable items stood out? Reference: Hofstede G. Dimensionalizing cultures: The Hofstede model in context. Online readings in psychology and culture 2011;2(1):8. A

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