Although current ideology suggests patients should be active participants in decision making about their care, the literature suggests that patients wish to be informed but not involved.
To test the hypothesis that most patients want their physicians to take the responsibility for problem solving (PS, identifying the one right answer), but that many want to be involved in decision-making (DM, selecting the most desired bundle of outcomes) tasks.
Survey responses from 300 patients undergoing angiogram at a Toronto, Ontario, hospital were analyzed (response rate, 72%). Survey items included scales to measure desire for information and participation, including Autonomy Preference Index, the Krantz Health Opinion Survey, and the Deber-Kraetschmer Problem-Solving Decision-Making Scale measured on a scale from 1 (doctor only) to 5 (patient only).
Patients had a relatively high desire for information.
On the Problem-Solving Decision-Making Scale, they overwhelmingly wished the PS tasks to be performed by or shared with the physician (98.4% of the 12 PS scores are between 1 and 3), but wanted to be involved in DM (78% of the 6 DM scores are between 3 and 5).
Preference for handing over control to the physician was significantly greater for the vignette involving potential mortality (chest pain) than for the vignettes involving mainly morbidity (urinary problems) or quality of life (fertility). (...)
Mots-clés Pascal : Relation médecin malade, Protocole thérapeutique, Aide décision, Soin santé primaire, Homme, Canada, Amérique du Nord, Amérique, Décision collective, Responsabilité, Participation
Mots-clés Pascal anglais : Physician patient relation, Therapeutic protocol, Decision aid, Primary health care, Human, Canada, North America, America, Social decision, Responsibility, Participation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0336773
Code Inist : 002B30A05. Création : 10/04/1997.