2 The effect of training and education at the outpatient clinic 37 Table 2. Patient satisfaction, patient-doctor relationship, shared decision making and number of care decision discussions per group Physician not trained, Patient uninformed n= 36 Physician not trained, Patient informed n= 37 Physician trained, Patient uninformed n= 56 Physician trained, Patient informed n= 47 p-value* Mean patient satisfaction1 8.5 (8.0-9.0) 8.0 (8.0-9.0) 9.0 (8.0-9.5) 8.0 (8.0-9.3) 0.503 Patient-doctor relationship2 40 (36-44) 36 (34-42) 41 (34-44) 40 (36-44) 0.963 Shared decision making3 67 (56-77) 58 (48-73) 64 (56-73) 67 (49-76) 0.594 Care decision discussions 8/32 (25%) 8/33 (24%) 20/51 (39%) 9/45 (20%) ** Decision made in consultation 5/8 (63%) 4/8 (50%) 12/20 (60%) 4/9 (44%) ** Median and interquartile range. * P-value for difference between group “Physician not trained, Patient uninformed” and “Physician trained, Patient informed” with MannWhitney U test. ** not statistically analysed due to sample size. 1 scale 0-10, missing in 11/176 patients (6%) 2 Patient Doctor Relationship Questionaire-9, scale 9-45, missing in 12/176 patients (7%) 3 Shared Decision Making Questionnaire -9- Doctor, scale 0-100, missing in 43/176 patients (24%) 3.3 Preparedness of the physician Physicians felt more prepared to discuss care decisions after training (median 3 (IQR 1-4) vs 1 (IQR 0-3), p=0.015). There were no differences in general aspects of the consultation (i.e. overall satisfaction and preparedness to answer questions of the patient) or factors related to discussing care decisions between before and after the training. 3.4 Patients appreciation of the conversation aid Most patients appraised the conversation aid with an overall mark of 8 (median 7, IQR 7-8). Most patients consider the conversation aid to be clear, informative, impartial, understandable and not too time-consuming. Most patients stated not to feel insecure or sad after reading the aid. When asked whether the conversation aid helped to form an opinion on care decisions, the majority of patients did not express a clear opinion.
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