Decision making and coping in healthcare: the Coping in Deliberation (CODE) framework.

Autor: Witt J; Institute of Primary Care and Public Health, Cardiff University, UK. wittj1@cf.ac.uk, Elwyn G, Wood F, Brain K
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2012 Aug; Vol. 88 (2), pp. 256-61. Date of Electronic Publication: 2012 Apr 01.
DOI: 10.1016/j.pec.2012.03.002
Abstrakt: Objective: To develop a framework of decision making and coping in healthcare that describes the twin processes of appraisal and coping faced by patients making preference-sensitive healthcare decisions.
Methods: We briefly review the literature for decision making theories and coping theories applicable to preference-sensitive decisions in healthcare settings. We describe first decision making, then coping and finally attempt to integrate these processes by building on current theory.
Results: Deliberation in healthcare may be described as a six step process, comprised of the presentation of a health threat, choice, options, preference construction, the decision itself and consolidation post-decision. Coping can be depicted in three stages, beginning with a threat, followed by primary and secondary appraisal and ultimately resulting in a coping effort.
Conclusions: Drawing together concepts from prominent decision making theories and coping theories, we propose a multidimensional, interactive framework which integrates both processes and describes coping in deliberation.
Practice Implications: The proposed framework offers an insight into the complexity of decision making in preference-sensitive healthcare contexts from a patient perspective and may act as theoretical basis for decision support.
(Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
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