3.3 | The experience and views of self-referral care
Facilitating shared
decision making
When it came to self-referral, participants expressed that it provided
patients with advanced kidney disease whose residential district haven’t
widely developed peritoneal dialysis techniques, more options.
“Peritoneal dialysis has been recommended by global
nephrologists, However, local hospitals haven’t set up peritoneal
dialysis service. In fact, more than a few of ESRD patients prefer this
modality. If conditions permit, we hope patients can be entitled to PD’s
benefits, so government does.” (N3)
The development of SDM model has actually affected healthcare
professionals firstly and physicians have put more emphasis on patients’
involvement and treatment satisfaction.
“Unlike
many years ago, we have done a lot of training, consisting of
patient-centered service philosophy, doctor-patient relationship
analysis et c.” (N6)
“What moved me was that my doctor asked me details about life,
family. Then she talked with other doctors about treatment preference
before I put forward the concerns. I felt she understood me.” (P21)