What role do patients prefer in medical decision-making?: a population-based nationwide cross-sectional study

• Type: Article in International Scientific Journal
• Date: 2021

Authors

Gregorio, M (Author) Other; teixeira, a (Author) FMUP; Henriques, T (Author) FMUP; Pascoa, R (Author) FMUP; Baptista, S (Author) FMUP; Carvalho, R (Author) Other; Carlos Martins (Author) FMUP

Journal

Title: BMJ Open

Vol. 11 No. 1

ISSN: 2044-6055

Publisher: BMJ PUBLISHING GROUP

Indexing

ISI Web of Knowledge - 0 Citations

Scopus - 0 Citations

Other information

Authenticus ID: P-00V-H8Y

DOI: 10.1136/bmjopen-2020-048488

Abstract (EN): Objective To assess patients' preferred roles in healthcare-related decision-making in a representative sample of the Portuguese population. Design Population-based nationwide cross-sectional study. Setting and participants A sample of Portuguese people 20 years or older were interviewed face-to-face using a questionnaire with the Problem-Solving Decision-Making scale. Outcomes The primary outcome was patients' preferred role for each vignette of the problem-solving decision-making scale. Sociodemographic factors associated with the preferred roles were the secondary outcomes. Results 599 participants (20-99 years, 53.8% women) were interviewed. Three vignettes of the Problem-Solving Decision-Making scale were compared: morbidity, mortality and quality of life. Most patients preferred a passive role for both the problem-solving and decision-making components of the scale, particularly for the mortality vignette (66.1% in the analysis of the three vignettes), although comparatively more opted to share decision in the decision-making component. For the quality of life vignette, a higher percentage of patients wanted a shared role (44.3%) than with the other two vignettes. In the problem-solving component, preferences were significantly associated with area of residence (p<0.001) and educational level (p=0.013), while in the decision-making, component preferences were associated with age (p=0.020), educational level (p=0.015) and profession (p<0.001). Conclusions In this representative sample of the Portuguese mainland population, most patients preferred a practitioner-controlling role for both the problem-solving and decision-making components. In a life-threatening situation, patients were more willing to let the doctor decide. In contrast, in a less serious situation, there is a greater willingness to participate in decision-making. We have found that shared decision-making is more acceptable to better-educated patients in the problem-solving component and to people who are younger, higher educated and employed, in the decision-making component.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 8