The public defence will be held as a video conference over Zoom.
The defence will follow regular procedure as far as possible, hence it will be open to the public and the audience can ask ex auditorio questions when invited to do so.
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Digital Trial Lecture – time and place
Adjudication committee
- First opponent: Professor Petra Svedberg, Halmstad University, Sweden
- Second opponent: Professor Ottar Ness, Norwegian University of Science and Technology (NTNU)
- Third member and chair of the evaluation committee: Professor Toril Dammen, University of Oslo
Chair of the Defence
Professor Pål Gulbrandsen, University of Oslo
Principal Supervisor
Professor Lars Tanum, Akershus University Hospital
Summary
Presently, the health care service experiences increased expectations of patient involvement in decisions about treatment.
Shared decision-making (SDM) is a conceptualization of patient involvement, described as a meeting of two equal parts with different expertise: the professional as expert on the discipline, and the patient as expert on his or her own life. Present descriptions of patient preconditions for SDM are mainly restricted to patient education. However, the concept needs a broader approach, where the contributions from health professionals and service structures, as well as further sides of patient contribution should be included.
We performed a cross-sectional study at Division of mental health at Sørlandet hospital in Norway January 2017. We included 992 patients and 312 clinicians. We explored the patients’ experiences of SDM; the concurrence of experienced SDM between patients and their clinicians; how the attitudes of the clinician influenced the patient experiences of SDM, and if patients experienced support with medication issues.
The participants reported adequate experiences of SDM. Male patients, patients with diagnoses involving psychotic symptoms, patients with longer treatment durations, and involuntary treated patients experienced less SDM. Patients with longer treatment durations and involuntarily treated patients had a higher probability of reporting less SDM than their clinician. Patients, whose clinicians expressed a patient-centred attitude, experienced more SDM. Older patients and patients with beliefs of stronger needs for medication experienced more medication support. Patients with beliefs of higher concern to medication experienced less support.
Additional information
Contact the research support staff.