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Shared decision-making (SDM) has been advocated as one effective strategy for improving physician-patient relationships and optimizing clinical outcomes. Our study aimed to measure physicians' perception of SDM and establish the relationship between physicians' perception of SDM and prescribing behavior in patients with upper respiratory tract infections. One cross-sectional study was conducted in Hubei Province from December 2019 to January 2020. The SDM questionnaire and prescription data of 2018 from electronic health records data we