The Balance of Patient Involvement: Patients' and Health Professionals' Perspectives on Decision-Making in the Treatment of Advanced Prostate Cancer

被引：17

作者：

Lowe, Mette Margrethe ^{[1
,2
,3
,4
]}

Osther, Palle Jorn Sloth ^{[2
,3
,5
]}

Ammentorp, Jette ^{[1
,3
,4
]}

Birkelund, Regner ^{[1
,4
,6
]}

机构：

[1] Ctr Hosp, Hlth Serv Res, Dept Reg Hlth Res, Lillebaelt, Denmark

[2] Ctr Hosp, Urol Res Ctr, Dept Reg Hlth Res, Lillebaelt, Denmark

[3] Univ Southern Denmark, Lillebaelt Hosp, Odense, Denmark

[4] Univ Southern Denmark, Inst Reg Hlth Res, Odense, Denmark

[5] Univ Southern Denmark, Urol, Odense, Denmark

[6] Univ Southern Denmark, Lillebaelt Hosp, Patient Ctr Canc Care, Odense, Denmark

来源：

QUALITATIVE HEALTH RESEARCH | 2021年 / 31卷 / 01期

关键词：

advanced prostate cancer; patient involvement; communication; patient-centered health care; patients’ attitudes to involvement; shared decision-making; treatment-related decisions; participant observation; qualitative interviews; Ricoeur interpretation theory; qualitative; phenomenological-hermeneutic approach; qualitative longitudinal design; Denmark; Europe; PARTICIPATION;

D O I：

10.1177/1049732320962759

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Research has shown that involving patients in decisions on treatment may have positive effects for patients. However, there are different understandings of what involving patients implies and different attitudes among physicians toward sharing decisions with patients. This study aimed to explore the attitude of patients with advanced prostate cancer to involvement in treatment decisions and physicians' and nurses' approach to patient involvement. Moreover, it aimed to explore whether the decision-making changes as the treatment course progresses. Data were collected through participant observations and interviews. It was found that treatment decisions are primarily considered as part of physicians' role. Physicians' attitudes to patient involvement in treatment decisions depended on the type of treatment. Among patients and health professionals, there was a lack of confidence in the ability of patients to participate in the decisions. Health professionals and patients have different attitudes toward patient involvement and different views on what it entails.

引用

页码：29 / 40

页数：12

共 38 条

[1]

Ahmad N., 2014, PERSON CTR CARE IDEA

[2] Patients' Preferences for Participation in Treatment Decision-Making at the End of Life: Qualitative Interviews with Advanced Cancer Patients [J].