TY - JOUR
T1 - Patients' preferences for participation in clinical decision making
T2 - A review of published surveys
AU - Benbassat, Jochanan
AU - Pilpel, Dina
AU - Tidhar, Meira
N1 - Funding Information:
This research was supported by a grant from the Chief Scientist’s Office, Ministry of Health of Israel, to Dr Benbassat.
PY - 1998/1/1
Y1 - 1998/1/1
N2 - Models of doctor-patient relations vary between “paternalistic” and “informative.” The paternalistic model emphasizes doctors' authority; alternative models allow patients to exercise their rights to autonomy. Published surveys indicate that most patients want to be informed about their diseases, that a proportion of patients want to participate in planning management of their illnesses, and that some patients would rather be completely passive and would avoid any information. The severity of the patients' conditions, and their being older, less well educated, and male are predictors of a preference for the passive role in the doctor-patient relationship, but demographic and situational characteristics explain only 20% or less of the variability in preferences. The only way a physician can gain insight into an individual patient's desire to participate in decision making is through direct enquiry. The ability to communicate health-related information and to determine the patients' desire to participate in medical decisions should be viewed as a basic clinical skill.
AB - Models of doctor-patient relations vary between “paternalistic” and “informative.” The paternalistic model emphasizes doctors' authority; alternative models allow patients to exercise their rights to autonomy. Published surveys indicate that most patients want to be informed about their diseases, that a proportion of patients want to participate in planning management of their illnesses, and that some patients would rather be completely passive and would avoid any information. The severity of the patients' conditions, and their being older, less well educated, and male are predictors of a preference for the passive role in the doctor-patient relationship, but demographic and situational characteristics explain only 20% or less of the variability in preferences. The only way a physician can gain insight into an individual patient's desire to participate in decision making is through direct enquiry. The ability to communicate health-related information and to determine the patients' desire to participate in medical decisions should be viewed as a basic clinical skill.
UR - http://www.scopus.com/inward/record.url?scp=0031667552&partnerID=8YFLogxK
U2 - 10.1080/08964289809596384
DO - 10.1080/08964289809596384
M3 - Article
AN - SCOPUS:0031667552
SN - 0896-4289
VL - 24
SP - 81
EP - 88
JO - Behavioral Medicine
JF - Behavioral Medicine
IS - 2
ER -