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[Patient expectations about decision-making for various health problems].
Ana Delgado1, Luis Andrés López-Fernández, Juan de Dios Luna
1Escuela Andaluza de Salud Pública, Granada, España. ana.delgado.easp@juntadeandalucia.es
Gaceta Sanitaria
|November 26, 2009
Summary
Most patients want their general practitioner to listen and inform them, with less desire for autonomous decision-making, especially for biomedical issues. Patient and general practitioner gender influences these expectations.
Area of Science:
- Family Medicine
- Health Services Research
- Patient-Centered Care
Context:
- Understanding patient expectations is crucial for effective general practitioner consultations.
- Previous research has not fully explored gender's role in patient decision-making preferences.
Purpose:
- To identify patient expectations regarding clinical decision-making with general practitioners.
- To determine how patient and general practitioner characteristics, particularly gender, influence these expectations.
Summary:
- A multicenter cross-sectional study of 360 patients revealed that while most desire their general practitioner to listen and inform, their desire for autonomous decision-making varies by health problem.
- Women expressed lower participation expectations for depression and family problems. Patients consulting female general practitioners showed higher participation expectations for family problems and colds.
Impact:
- Findings highlight the importance of tailoring communication and decision-making approaches based on patient and practitioner characteristics.
- This research can inform training for general practitioners to enhance patient-centered care and shared decision-making.
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