LAUSR

INTRODUCTION This study is a qualitative study based on 1:1 semi-structured interviews designed to explore the treatment selection process and factors that influence the treatment decisions of patients with spinal pain undergoing surgery or Korean medicine treatment. METHODS Patients admitted to a Korean hospital for treatment after either undergoing or receiving a recommendation for spinal surgery, were aged 19-74 years, could communicate in Korean, and who provided informed consent were invited to participate in the study. Of the 15 participants selected, 9 underwent spinal surgery, while 6 had spinal surgery recommended but did not choose to have it. RESULTS Three main themes emerged from the interviews: the patient's personal and subjective information and situation; objective information; and the physician's information and competence. Recommendations by and cases of people around them had the greatest influence on patients who chose Korean medicine treatment (their own situation). Patients who chose surgery tended to be influenced by their physicians, whose opinions had the greatest influence on their choice. CONCLUSIONS Treatment decisions are influenced by: recommendations by and cases of acquaintances; patient's direct and indirect experiences; patient's will and judgement; internet searches; physician's opinions; and trust in the physician. The factors that influence the choice of Korean medicine treatment and surgery clearly differ. The findings would be useful for clinicians and patients who must decide between various treatments modality recommendations.