Patient education and counseling · 2010
Desire for autonomy in health care decisions: a general population survey.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Cullati Stéphane, Courvoisier Delphine S, Charvet-Bérard Agathe I, Perneger Thomas V
Аннотация
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.
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.