Medical tests: women's reported and preferred decision-making roles and preferences for information on benefits, side-effects and false results.

作者: Heather M. Davey , Alexandra L. Barratt , Elizabeth Davey , Phyllis N. Butow , Sally Redman

DOI: 10.1046/J.1369-6513.2002.00194.X

关键词: Clinical psychologyPatient satisfactionNeeds assessmentMedical testHealth services researchTest (assessment)Informed consentFamily medicinePatient participationMedicineAnxiety

摘要: Objective  To determine women's preferences for and reported experience with medical test decision-making. Design  Computer-assisted telephone survey. Setting participants  Six hundred fifty-two women resident in households randomly selected from the New South Wales electronic white pages. Main outcome measures  Reported preferred treatment (for comparison) decision-making, satisfaction anxiety about information on false results side-effects; effect of desire such information. Results  Overall most to share (94.6%) (91.2%) decision-making equally their doctor, or take a more active role, only 5.4–8.9% reporting they wanted doctor make these decisions behalf. This pattern was consistent across all age groups. In general, experiencing role that preference. Women who had usual were likely report an decision-making. More receiving as much benefits tests than side-effects treatment. Most possibility (91.5%) (95.6%), but many never provided this (false results = 40.0% side-effects = 31.3%). A substantial proportion said would them anxious results = 56.6% side-effects = 43.1%), anyway results = 77.6% side-effects = 88.1%). Conclusions  prefer Many inadequate information. If so, may jeopardize informed

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