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[Shared decision making in breast cancer. Womens' attitudes]
Roberto Martín-Fernández1, Analía Abt-Sacks, Lilisbeth Perestelo-Perez
1Servicio de Evaluación, Servicio Canario de Salud, Santa Cruz de Tenerife, España. roberto.martinfernandez@sescs.es
Revista Espanola De Salud Publica
|June 11, 2013
Summary
Women with breast cancer actively participate in treatment decisions based on age, information, and self-confidence. Their role can evolve as the disease progresses, influenced by healthcare professionals and family support.
Area of Science:
- Oncology
- Healthcare Decision-Making
- Patient Autonomy
Background:
- Growing emphasis on patient autonomy and women's roles in breast cancer treatment decisions.
- Need to identify factors influencing these critical healthcare choices.
Purpose of the Study:
- To identify and characterize elements influencing treatment decision-making for women with breast cancer.
Main Methods:
- Qualitative phenomenological study involving 70 women with breast cancer in Spain.
- Utilized 45 semi-structured interviews and 3 focus groups (October 2009 - July 2010).
- Grounded theory principles and Atlas.ti v6.1 software for analysis.
Main Results:
- Patient decision-making roles (active/passive) influenced by age, information access, self-perceived capability, and concern for physical appearance.
- Disease progression can shift attitudes from passive to active participation.
- Healthcare professional attitudes and information provision are key to patient engagement; family provides crucial support.
Conclusions:
- Patient decision-making attitudes in breast cancer are variable.
- Emotional status, information availability, and contextual influences significantly impact patient involvement.
- Shared decision-making models are crucial for empowering women with breast cancer.
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