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Are patients' decision-making preferences being met?

Sarah Ford1, Theo Schofield, Tony Hope

  • 1The Ethox Centre, University of Oxford, Institute of Health Sciences, Headington, Oxford, UK. sarah.ford@ethox.ox.ac.uk

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|February 27, 2003
PubMed
Summary

Many patients desire more information and a different role in medical decision-making than they receive during general practice consultations. Matching patient preferences for shared or autonomous decision-making remains a challenge for doctors.

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Area of Science:

  • General Practice
  • Patient-Centered Care
  • Health Psychology

Background:

  • Patient involvement in medical decision-making is a key aspect of modern healthcare.
  • Understanding patient preferences for information and decision-making roles is crucial for effective consultations.

Purpose of the Study:

  • To investigate patient expectations regarding information provision and decision-making roles in general practice.
  • To assess the congruence between patient preferences and perceived experiences during consultations.

Main Methods:

  • Quantitative patient preference and enablement questionnaire administered post-consultation.
  • Study conducted in general practice surgeries in Oxfordshire, UK, with 171 patients and 13 general practitioners.

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Main Results:

  • A significant portion of patients desired more information, especially on treatment risks/benefits.
  • Congruence between preferred and actual decision-making roles varied, with patients preferring the doctor to decide more often having their preferences met.
  • No significant differences in enablement scores were found across decision-making preference groups.

Conclusions:

  • Patient preferences for decision-making roles in general practice are diverse.
  • A notable gap exists between patients' desired and experienced involvement in decision-making.
  • Tailoring consultation styles to individual patient preferences presents an ongoing challenge for general practitioners.