To share or not to share: Malaysian healthcare professionals' views on localized prostate cancer treatment decision making roles

Aim: To explore the views of Malaysian healthcare professionals (HCPs) on stakeholders’ decision making roles in localized prostate cancer (PCa) treatment. Methods: Qualitative interviews and focus groups were conducted with HCPs treating PCa. Data was analysed using a thematic approach. Four in-dep...

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Main Authors: Lee, Yew Kong, Lee, Ping Yein, Cheong, Ai Theng, Ng, Chirk Jenn, Abdullah, Khatijah Lim, Ong, Teng Aik, Abdul Razack, Azad Hassan
Format: Article
Language:English
Published: Public Library of Science 2015
Online Access:http://psasir.upm.edu.my/id/eprint/58555/
http://psasir.upm.edu.my/id/eprint/58555/1/58555.PDF
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author Lee, Yew Kong
Lee, Ping Yein
Cheong, Ai Theng
Ng, Chirk Jenn
Abdullah, Khatijah Lim
Ong, Teng Aik
Abdul Razack, Azad Hassan
author_facet Lee, Yew Kong
Lee, Ping Yein
Cheong, Ai Theng
Ng, Chirk Jenn
Abdullah, Khatijah Lim
Ong, Teng Aik
Abdul Razack, Azad Hassan
author_sort Lee, Yew Kong
building UPM Institutional Repository
collection Online Access
description Aim: To explore the views of Malaysian healthcare professionals (HCPs) on stakeholders’ decision making roles in localized prostate cancer (PCa) treatment. Methods: Qualitative interviews and focus groups were conducted with HCPs treating PCa. Data was analysed using a thematic approach. Four in-depth interviews and three focus group discussions were conducted between December 2012 and March 2013 using a topic guide. Interviews were audio-recorded, transcribed verbatim, and analysed thematically. Findings: The participants comprised private urologists (n = 4), government urologists (n = 6), urology trainees (n = 6), government policy maker (n = 1) and oncologists (n = 3). HCP perceptions of the roles of the three parties involved (HCPs, patients, family) included: HCP as the main decision maker, HCP as a guide to patients’ decision making, HCP as a facilitator to family involvement, patients as main decision maker and patient prefers HCP to decide. HCPs preferred to share the decision with patients due to equipoise between prostate treatment options. Family culture was important as family members often decided on the patient’s treatment due to Malaysia’s close-knit family culture. Conclusions: A range of decision making roles were reported by HCPs. It is thus important that stakeholder roles are clarified during PCa treatment decisions. HCPs need to cultivate an awareness of sociocultural norms and family dynamics when supporting non-Western patients in making decisions about PCa.
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spelling upm-585552019-10-01T01:13:08Z http://psasir.upm.edu.my/id/eprint/58555/ To share or not to share: Malaysian healthcare professionals' views on localized prostate cancer treatment decision making roles Lee, Yew Kong Lee, Ping Yein Cheong, Ai Theng Ng, Chirk Jenn Abdullah, Khatijah Lim Ong, Teng Aik Abdul Razack, Azad Hassan Aim: To explore the views of Malaysian healthcare professionals (HCPs) on stakeholders’ decision making roles in localized prostate cancer (PCa) treatment. Methods: Qualitative interviews and focus groups were conducted with HCPs treating PCa. Data was analysed using a thematic approach. Four in-depth interviews and three focus group discussions were conducted between December 2012 and March 2013 using a topic guide. Interviews were audio-recorded, transcribed verbatim, and analysed thematically. Findings: The participants comprised private urologists (n = 4), government urologists (n = 6), urology trainees (n = 6), government policy maker (n = 1) and oncologists (n = 3). HCP perceptions of the roles of the three parties involved (HCPs, patients, family) included: HCP as the main decision maker, HCP as a guide to patients’ decision making, HCP as a facilitator to family involvement, patients as main decision maker and patient prefers HCP to decide. HCPs preferred to share the decision with patients due to equipoise between prostate treatment options. Family culture was important as family members often decided on the patient’s treatment due to Malaysia’s close-knit family culture. Conclusions: A range of decision making roles were reported by HCPs. It is thus important that stakeholder roles are clarified during PCa treatment decisions. HCPs need to cultivate an awareness of sociocultural norms and family dynamics when supporting non-Western patients in making decisions about PCa. Public Library of Science 2015 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/58555/1/58555.PDF Lee, Yew Kong and Lee, Ping Yein and Cheong, Ai Theng and Ng, Chirk Jenn and Abdullah, Khatijah Lim and Ong, Teng Aik and Abdul Razack, Azad Hassan (2015) To share or not to share: Malaysian healthcare professionals' views on localized prostate cancer treatment decision making roles. PLOS ONE, 10 (11). art. no. e0142812. pp. 1-11. ISSN 1932-6203 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0142812 10.1371/journal.pone.0142812
spellingShingle Lee, Yew Kong
Lee, Ping Yein
Cheong, Ai Theng
Ng, Chirk Jenn
Abdullah, Khatijah Lim
Ong, Teng Aik
Abdul Razack, Azad Hassan
To share or not to share: Malaysian healthcare professionals' views on localized prostate cancer treatment decision making roles
title To share or not to share: Malaysian healthcare professionals' views on localized prostate cancer treatment decision making roles
title_full To share or not to share: Malaysian healthcare professionals' views on localized prostate cancer treatment decision making roles
title_fullStr To share or not to share: Malaysian healthcare professionals' views on localized prostate cancer treatment decision making roles
title_full_unstemmed To share or not to share: Malaysian healthcare professionals' views on localized prostate cancer treatment decision making roles
title_short To share or not to share: Malaysian healthcare professionals' views on localized prostate cancer treatment decision making roles
title_sort to share or not to share: malaysian healthcare professionals' views on localized prostate cancer treatment decision making roles
url http://psasir.upm.edu.my/id/eprint/58555/
http://psasir.upm.edu.my/id/eprint/58555/
http://psasir.upm.edu.my/id/eprint/58555/
http://psasir.upm.edu.my/id/eprint/58555/1/58555.PDF