Physiatrists’ responses to the question “To what extend do you experience the following as difficulties during the treatment decision-making process?” are presented in Table 5. Factors seen as a barrier by more than 50% of the physiatrists include: the patients received conflicting recommendations from various specialists, the patient has difficulty accepting the disease, the patient’s family overrides the decision-making process and the patient had misconceptions about the disease or treatment. Time was not seen as one of the strongest barriers, but still 42% of the respondents indicated it to be a barrier for the decision-making process.
Nearly all physiatrists (98%) perceived trust as a facilitator for the decision-making process. Ninety percent indicated that a patient’s willingness to participate in the decision-making also facilitates the process. Table 6 provides respondents’ mean score for each item.
Table 5. Perceived barriers to treatment decision-making among physiatrists.