80 Chapter 5 Abstract Objective This study investigated provider-related attributes of shared decision-making (SDM). It studied how physicians rank SDM cases compared to other cases, taking ‘job satisfaction’ and ‘complexity’ as ranking criteria. Methods Ten vignettes representing three cases of SDM, three cases dealing with patients’ emotions and four with technical problems were designed to conduct a modified ordinal preference elicitation study. Gynecologists and trainees ranked the vignettes for ‘job satisfaction’ or ‘complexity’. Results were analyzed by comparing the top three and down three ranked cases for each type of case using exact p-values obtained with custom-made randomization tests. Results Participants experienced more satisfaction significantly from performing technical cases than cases dealing with emotions or SDM. Moreover, technical cases were perceived as less complex than those dealing with emotions. However, results were inconclusive about whether gynecologists find SDM complex. Conclusion Findings suggest gynecologists experience lower satisfaction with SDM tasks, possibly due to them falling outside their comfort zone. Integrating SDM into daily routines and promoting culture change favoring dealing with non-technical problems might help mitigate issues in SDM implementation. Innovation Our novel study assesses SDM in the context of task appraisal, illuminating the psychology of health professionals and providing valuable insights for implementation science.
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