How Patients Make Decisions with Their Surgeons: The Role of Counseling and Patient Decision Aids

摘要: Recent studies of patient decision making about surgical options that involve trade-offs between benefits and harms underscore major gaps in quality. Following standard counseling, patients’ score D on knowledge tests F their understanding the probabilities harms. Moreover, there is a mismatch value most option chosen. Patients participate less than they prefer; some have high levels decisional discomfort which an independent predictor downstream dissatisfaction, regret, tendency to blame doctor for bad outcomes. The underlying mechanisms explaining poor quality with counseling (1) difficulties recalling facts (2) surgeons’ judging values place versus