期刊
PATIENT EDUCATION AND COUNSELING
卷 83, 期 1, 页码 134-138出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2010.04.025
关键词
Decision making; Attitudes
资金
- Swiss Cancer League [KLS-01326-02-2003]
- Geneva Cancer League
Objective: To examine factors associated with desire for autonomy in health care decisions in the general population. Methods: Mailed survey of 2348 residents of Geneva, Switzerland. Participants answered questions on a scale measuring their desire for autonomy in health care decisions. The scale was scored between 0 (lowest desire for autonomy) and 100 (highest desire for autonomy). Results: On average the respondents favoured shared or active involvement in medical decisions (mean score 62.0, SD 20.9), but attitudes varied considerably. In the multivariate model, factors associated with a higher desire for autonomy included female gender, younger age, higher education, living alone, reporting an excellent global health and - a new observation compared to previous studies - having made several medical decisions in the past 6 months. Conclusions: The attitudes of the general public appear to be consistent with the model of shared decision making. However, people vary considerably in their desire for autonomy. Practice implications: An explicit assessment of each individual's desire for autonomy may improve the decision-making process. Such an assessment should be repeated regularly, as familiarity with medical decisions may increase the desire for autonomy. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
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