Taking the Patient's Preferences into Account in the Anticoagulation Decision: Largely Lip-Service?
| Autor: | Dowie J; London School of Hygiene and Tropical Medicine, London, UK.; University of Southern Denmark, Odense, Denmark., Kaltoft MK; University of Southern Denmark, Odense, Denmark., Rajput VK; London School of Hygiene and Tropical Medicine, London, UK.; Stonydelph Health Centre, Tamworth, UK. |
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| Jazyk: | angličtina |
| Zdroj: | Studies in health technology and informatics [Stud Health Technol Inform] 2024 May 23; Vol. 314, pp. 65-69. |
| DOI: | 10.3233/SHTI240059 |
| Abstrakt: | Clinical guidelines for the assessment and management of atrial fibrillation emphasize the importance of taking the patient's preferences into account. A detailed examination of those from the National Institute for Excellence in Health and Social Care (NICE) raise serious questions about whether the recommendations embed preferences about crucial trade-offs that pre-empt those of the patient; do not stress the need to provide them with the information on option consequences necessary for them to become an informed patient; and characterise them as 'concordant' or 'discordant' rather than independently valid. American and European guidelines do not differ significantly in these respects. |
| Databáze: | MEDLINE |
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