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Preferences for autonomy when patients are physicians.

J Ende1, L Kazis, M A Moskowitz

  • 1Evans Memorial Department of Clinical Research, Boston University School of Medicine, Massachusetts.

Journal of General Internal Medicine
|November 1, 1990
PubMed
Summary
This summary is machine-generated.

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Physicians acting as patients prefer their doctors make medical decisions, similar to regular patients. Their desire for autonomy decreases with illness severity, suggesting illness itself influences decision-making preferences.

Area of Science:

  • Medical Ethics
  • Patient Autonomy
  • Physician Behavior

Background:

  • Understanding patient autonomy is crucial in healthcare.
  • Physicians' perspectives on autonomy when they become patients are not well-documented.
  • This study explores physician preferences regarding decision-making during illness.

Purpose of the Study:

  • To evaluate physician preferences for patient autonomy when physicians themselves are patients.
  • To compare physician-patient autonomy preferences with those of the general patient population.

Main Methods:

  • A questionnaire was administered to practicing physicians attending a continuing medical education course.
  • Data were sociodemographically adjusted and compared with previously collected patient data.
Keywords:
Empirical ApproachProfessional Patient Relationship

Related Experiment Videos

  • 151 physicians participated, predominantly primary care providers.

    • Main Results:

    • Physicians preferred providers, not themselves, to lead decision-making for their illnesses.
    • Increased illness severity significantly reduced physicians' desire for decision-making.
    • Physician-patients showed slightly higher interest in decision-making than regular patients.

    Conclusions:

    • Physician-patients' autonomy preferences largely mirror those of regular patients.
    • Medical knowledge and sociocultural factors appear to be minor influences on patient autonomy attitudes.
    • The phenomenology of illness better explains patients' desire to relinquish decision-making responsibility.