What Role Do Patients Wish to Play in Treatment Decision Making?

摘要: Background: Although current ideology suggests patients should be active participants in decision making about their care, the literature that wish to informed but not involved. Objective: To test hypothesis most want physicians take responsibility for problem solving (PS, identifying one right answer), many involved decision-making (DM, selecting desired bundle of outcomes) tasks. Methods: Survey responses from 300 undergoing angiogram at a Toronto, Ontario, hospital were analyzed (response rate, 72%). items included scales measure desire information and participation, including Autonomy Preference Index, Krantz Health Opinion Survey, Deber-Kraetschmer Problem-Solving Decision-Making Scale measured on scale 1 (doctor only) 5 (patient only). Results: Patients had relatively high information. On Scale, they overwhelmingly wished PS tasks performed by or shared with physician (98.4% 12 scores are between 3), wanted DM (78% 6 3 5). handing over control was significantly greater vignette involving potential mortality (chest pain) than vignettes mainly morbidity (urinary problems) quality life (fertility). Conclusions: do tasks, few hand physician. These findings suggest 2 major roles clinicians—assisting structure choices supporting them often difficult decisions. Arch Intern Med. 1996;156:1414-1420