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Decision-Making of Older Patients in Context of the Doctor-Patient Relationship : A Typology Ranging from “Self-Determined” to “Doctor-Trusting” Patients
Joint Authors
Diederichs-Egidi, Heike
Hummers-Pradier, Eva
Junius-Walker, Ulrike
Dierks, Marie-Luise
Voigt, Isabel
Wrede-Sach, Jennifer
Source
International Journal of Family Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-18
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
This qualitative study aims to gain insight into the perceptions and experiences of older patients with regard to sharing health care decisions with their general practitioners.
Patients and Methods.
Thirty-four general practice patients (≥70 years) were asked about their preferences and experiences concerning shared decision making with their doctors using qualitative semistructured interviews.
All interviews were analysed according to principles of content analysis.
The resulting categories were then arranged into a classification grid to develop a typology of preferences for participating in decision-making processes.
Results.
Older patients generally preferred to make decisions concerning everyday life rather than medical decisions, which they preferred to leave to their doctors.
We characterised eight different patient types based on four interdependent positions (self-determination, adherence, information seeking, and trust).
Experiences of a good doctor-patient relationship were associated with trust, reliance on the doctor for information and decision making, and adherence.
Conclusion.
Owing to the varied patient decision-making types, it is not easy for doctors to anticipate the desired level of patient involvement.
However, the decision matter and the self-determination of patients provide good starting points in preparing the ground for shared decision making.
A good relationship with the doctor facilitates satisfying decision-making experiences.
American Psychological Association (APA)
Wrede-Sach, Jennifer& Voigt, Isabel& Diederichs-Egidi, Heike& Hummers-Pradier, Eva& Dierks, Marie-Luise& Junius-Walker, Ulrike. 2013. Decision-Making of Older Patients in Context of the Doctor-Patient Relationship : A Typology Ranging from “Self-Determined” to “Doctor-Trusting” Patients. International Journal of Family Medicine،Vol. 2013, no. 2013, pp.1-10.
https://search.emarefa.net/detail/BIM-474729
Modern Language Association (MLA)
Wrede-Sach, Jennifer…[et al.]. Decision-Making of Older Patients in Context of the Doctor-Patient Relationship : A Typology Ranging from “Self-Determined” to “Doctor-Trusting” Patients. International Journal of Family Medicine No. 2013 (2013), pp.1-10.
https://search.emarefa.net/detail/BIM-474729
American Medical Association (AMA)
Wrede-Sach, Jennifer& Voigt, Isabel& Diederichs-Egidi, Heike& Hummers-Pradier, Eva& Dierks, Marie-Luise& Junius-Walker, Ulrike. Decision-Making of Older Patients in Context of the Doctor-Patient Relationship : A Typology Ranging from “Self-Determined” to “Doctor-Trusting” Patients. International Journal of Family Medicine. 2013. Vol. 2013, no. 2013, pp.1-10.
https://search.emarefa.net/detail/BIM-474729
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-474729