期刊
PATIENT EDUCATION AND COUNSELING
卷 84, 期 1, 页码 111-117出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2010.07.032
关键词
Shared decision-making; Chronically ill and disabled; Medical care issues; Home care issues; Occupational healthcare issues; Lifestyle issues
资金
- Ministry of Health, Welfare and Sport
- Ministry of Social Affairs and Employment of The Netherlands
Objective: (1) To describe the importance chronically ill and disabled patients attach to involvement in decision-making when various care types are considered, and (2) to analyse the degree to which these patients are involved in shared decision-making (SDM) regarding these care types, and whether their involvement reflects the importance they attach to SDM. Methods: The study sample consisted of 812 chronically ill and disabled patients who experienced a situation of decision-making during the last year. Data were collected by a self-report survey in 2006 and were analysed by multilevel linear regression analyses. Results: Participants attached most importance to SDM when occupational healthcare issues were at stake, but perceived their actual involvement in these decisions as relatively low. Patients dealing with decision-making regarding medical care or home care experienced higher levels of involvement. The importance attached to SDM corresponds moderately with the actual role patients experience in the decision-making process. Conclusion: The type of care to decide upon impacts on the importance patients attach to SDM as well as on their actual involvement in decision-making. Practice implications: We suggest healthcare practitioners to pay attention to the preferred level of patient involvement each time a new care issue has to be decided upon. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
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