Decision Making: The Patient’s Perspective

摘要: There are major gaps in the quality of decisions about treatment options that involve making tradeoffs between benefits and harms.1 Following standard counseling, patients score ‘D’ on knowledge tests ‘F’ their understanding probabilities harms. Moreover, there is a mismatch harms value most option chosen. Patients participate decision less than they prefer some have high levels decisional conflict, which an independent predictor downstream dissatisfaction, regret tendency to blame doctor for bad outcomes.2–4 Decisional conflict defined as personal uncertainty course action when risk, loss, or challenge values.5 The underlying mechanisms explaining poor patients’ difficulties recalling facts probabilistic nature evidence regarding each available (benefits harms), surgeons’ judging values place versus clear need improve way prepared surgeons counsel options.