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


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


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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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.1371/journal.pone.0142812
Publisher: Public Library of Science
Keywords: Healthcare professionals; Stakeholders; Prostate cancer treatment; Decision making
Depositing User: Nabilah Mustapa
Date Deposited: 23 Jan 2018 03:19
Last Modified: 01 Oct 2019 01:13
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1371/journal.pone.0142812
URI: http://psasir.upm.edu.my/id/eprint/58555
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