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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

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Published on: September 30, 2020

Patient preference for autonomy: does it change as risk rises?

Timothy Kenealy1, Felicity Goodyear-Smith, Susan Wells

  • 1Department of General Practice and Primary Health Care, School of Nursing, University of Auckland, Auckland, New Zealand. t.kenealy@auckland.ac.nz

Family Practice
|May 7, 2011
PubMed
Summary
This summary is machine-generated.

Patient preference for medical decision-making autonomy decreases with higher cardiovascular disease (CVD) risk. Clinicians must confirm individual patient preferences, as risk and demographics don't reliably predict them.

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Area of Science:

  • Medical Decision Making
  • Patient Autonomy
  • Cardiovascular Disease Prevention

Background:

  • Patient autonomy in healthcare decisions is crucial.
  • Understanding how patient preferences for autonomy vary with disease severity is unclear.

Purpose of the Study:

  • To assess patient preferences for autonomy in cardiovascular disease (CVD) medication decisions.
  • To examine how these preferences correlate with personal 5-year CVD risk.

Main Methods:

  • A questionnaire was administered to 934 patients in New Zealand family practice waiting rooms.
  • Decision-making preferences were ranked on a 5-point scale, considering hypothetical medication risks/benefits based on personal 5-year CVD risk.
  • Statistical adjustments were made for age, gender, numeracy, and ethnicity.

Main Results:

  • Patient preference for autonomy decreased as 5-year CVD risk increased.
  • Younger, more numerate participants and women showed increased preference for autonomy.
  • Ethnic minorities (Pacific, East Asian, Indian Asian) were more inclined to prefer doctor-led decisions compared to European participants.

Conclusions:

  • Individual patient preferences for autonomy in CVD medication decisions are not strongly predicted by risk, demographics, or attitudes.
  • Clinicians should actively engage with each patient to understand and confirm their decision-making preferences.