Choosing, deciding, or participating: what do patients want in primary care?

Abstract

that the patient should make the choice, or the doctor should make it on their behalf. This somewhat crude dichotomy ignores the option for shared decision making, which recent research by Cox et al has shown is the most popular model for both doctors and patients.

Measuring the Structure and Process of End-of-Life Care in Korea: Validation of the Korean Version of the Care Evaluation Scale (CES)

“…31 Difference in CES scores according to the ''regret'' are also very understandable, as poor service quality of the institution can lead to regret regarding the decision to admit the patient to the palliative care institution. 32,33 One limitation should be mentioned. Although this study was performed nationwide, the response rate was relatively low (20.9%).…”

User perspectives of digital manufacturing for lower-limb prosthetic sockets

“…Furthermore, having treatment choices is highly valued by patients, providing flexibility and a sense of empowerment in their healthcare provision. 28 In a focus group, 24 it was agreed that prosthesis users should have accessible information about all possible options. Yet, patients' exposure to prosthesis design options (eg, suspension type, foot functionality, etc.)…”

Teoría en la acción sobre la relación con el paciente. Una perspectiva diferente de representar y entender el comportamiento del médico de familia en la consulta

“…Las proposiciones que se refieren a la toma de decisiones adjudican un papel protagonista al médico y no consideran el ofrecer al paciente la posibilidad de elegir, estrategia considerada un elemento esencial del modelo de comunicación centrada en el paciente 25 . Sin embargo, la trascendencia de ofrecer opciones ha sido puesta en cuestión, especialmente en determinados ámbitos de práctica y con determinados problemas de salud 26,27 , y no es algo reclamado unánime-mente por los pacientes, que sin embargo sí desean recibir más información 28,29 . Un modelo poco participativo de toma de decisiones es coherente con las proposiciones de negociar ante la posibilidad de conflictos.…”