The decision-making threshold and the factors that affect it: A qualitative study of patients' decision-making in knee replacement surgery
| Autor: | Damian R. Griffin, Patricia Scott, Alba Realpe, Lauren Thomson, Timothy Barlow |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Population ageing Nursing (miscellaneous) media_common.quotation_subject medicine.medical_treatment Decision Making Knee replacement Physical Therapy Sports Therapy and Rehabilitation Affect (psychology) Interviews as Topic 03 medical and health sciences 0302 clinical medicine Rheumatology Patient-Centered Care Humans Medicine Orthopedics and Sports Medicine 030212 general & internal medicine Arthroplasty Replacement Knee Aged media_common Aged 80 and over 030203 arthritis & rheumatology business.industry Rehabilitation Deliberation Focus group Surgery Cohort Female Chiropractics Thematic analysis business Qualitative research |
| Zdroj: | Musculoskeletal Care. 16:3-12 |
| ISSN: | 1478-2189 |
| Popis: | Background Osteoarthritis is a significant cause of burden to the ageing population and knee replacement is a common operation for treatment of end-stage disease. We aimed to explore these factors to help understand patients' decision-making, which is critical in informing patient-centred care. These can be used to enhance decision-making and dialogue between clinicians and patients, allowing a more informed choice. Methods The study consisted of two focus groups, in a patient cohort after total knee replacement followed by more in-depth interviews to further test and explore themes from the focus groups, in patients in either the deliberation stage or the decision-making stage. Results Using qualitative research methods (iterative thematic analysis) reviewing decision-making and deliberation phases of making informed choices we found nine key themes that emerged from the study groups. Conclusions An awareness of the deliberation phase, the factors that influence it, the stress associated with it, preferred models of care, and the influence of the decision-making threshold will aid useful communication between doctors and patients. |
| Databáze: | OpenAIRE |
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