Information and choice in decisions about cancer treatment

Turner, Sam; Maher, E.J.

doi:10.1136/bmj.309.6959.955b

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“…Liu, Franssen, Fitch, and Warner (1997), using a single-item measure in a study with incurable cancer patients, found that approximately 40 percent of their sample wanted their physician to make the final treatment decision, an approximate equal percentage wanted to make the decision themselves, and the remainder preferred to collaborate with their physician equally in making the final determination. Similarly, Turner and Maher (1994), in a sample of 165 Hodgkin's disease patients, found that almost two-thirds thought that all treatment decisions had been made entirely by the doctor; half said they were satisfied with this and half said they were not.…”

Section: Resultsmentioning

confidence: 99%

Do Patients Want Control over their Own Health Care? A Review of Measures, Findings, and Research Issues

Auerbach

2001

J Health Psychol

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Across a wide variety of medical settings, patients report that they want detailed information about their condition and their treatment whereas stated desire for input into decision making is skewed more in the direction of physician-only or at least collaborative decision-making. These results, along with the contextual and individual difference factors associated with increased willingness to relinquish control (lower educational level, more serious illness, increasing age), indicate that patients want to assume control if they feel it will be beneficial to them to do so. The findings, however, are based largely on the relationship of patients' mean scores to arbitrarily determined scale midpoints on measures with little or no criterion-related validity. These measures also show insufficient overlap with better validated measures of desire for health care control, which indicate more normally distributed scores and a broader range of individual differences among respondents. Findings are discussed in terms of the need for further research on the structure (dimensionality) and stability of the construct desire for health care control and issues involved in conducting needed criterion-related validational work.

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Section: Resultsmentioning

confidence: 99%

Do Patients Want Control over their Own Health Care? A Review of Measures, Findings, and Research Issues

Auerbach

2001

J Health Psychol

View full text Add to dashboard Cite

show abstract

Information and choice in decisions about cancer treatment

Cited by 1 publication

References 1 publication

Do Patients Want Control over their Own Health Care? A Review of Measures, Findings, and Research Issues

Do Patients Want Control over their Own Health Care? A Review of Measures, Findings, and Research Issues

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