Level | Theme (Professionals) | B | F | Theme (Patients) | B | F |
---|---|---|---|---|---|---|
Innovation (SDM) | Unclear concept of SDM | X | Â | Â | Â | Â |
Individual professional | Poor professional-patient relationship | X | Â | Professional- patient relationship | X | X |
Negative (B)/ positive (F) professional’s attitude/ behavior toward SDM | X | X | Negative (B)/ positive (F) professional’s attitude/ behavior towards SDM | X | X | |
Lack of knowledge of the professional about SDM/ treatment options | X | Â | Lack of knowledge of the professional about SDM/ treatment options | X | Â | |
 |  | Lack of (B)/ sufficient (F) information provision/ explanation | X | X | ||
Patient | Negative patient’s attitude towards SDM | X |  | Negative (B)/ positive (F) patient’s attitude towards | X | X |
Lack of patient’s capabilities to decide | X |  | SDM Lack of (B)/ sufficient (F) | X |  | |
Pressure by patient toward professional | X |  | patient’s capabilities to decide |  |  | |
 |  | Lack of knowledge of patient about treatment options | X |  | ||
Social context | Lack of inter-professional collaboration | X | Â | Lack of (B)/ sufficient (F) inter-professional collaboration | X | X |
Social influences of third parties | X | Â | Social influences of third parties | X | Â | |
Organizational context | Lack of tools to facilitate SDM | X | Â | Lack of (B)/ sufficient (F) tools to facilitate SDM | X | X |
Situational factors (e.g., lack of time) | X | Â | Situational factors (e.g., lack of time) | X | Â | |
Long waiting list influences decision process | X | Â | Long (B)/ short (F) waiting list influences decision process | X | X | |
Poor logistics/ implementation | X | Â | Conflicting information about treatment options | X | Â | |
External environment | Environmental influences on the decision process | X | Â | Environmental influences on decision process | X | X |
 | Reimbursement in favor of surgery | X |  | Reimbursement in favor of surgery | X |  |