Patients
Twenty-six patients with advanced kidney disease were interviewed (See
table 4); eighteen were in CKD 5 stage and twelve were female; seven
patients have a college degree or more; Ten participants were working,
while others were not working.
Our analysis identified the three themes: 1. Self-referral decision
making (Sub-themes: self-referral motives; barriers to self-referral;
searching for self-referral information) 2. The experience and views of
self-referral care (Sub-themes: facilitating shared decision making;
imposing psychological pressure; feeling about self-referral
communication; challenges on staff-patient relationship); 3. Treatment
decision
making
(Sub-themes: decisional awareness and role; cost-benefit trade-off and
redecision); Below we will discuss each theme (also depicted in Fig. 1).