| Zdroj: |
Degner, L, Singh, J A, Sloan, J A, Atherton, P J, Smith, T, Hack, T F, Huschka, M M, Rummans, T A, Clark, M M, Diekmann, B & Degner, L F 2010, ' Preferred roles in treatment decision making among patients with cancer: A pooled analysis of studies using the control preferences scale ', The American Journal of Managed Care, vol. 16, no. 9, pp. 688-696 . |
| Popis: |
Objectives: To collect normative data, assess differences between demographic groups, and indirectly compare US and Canadian medical systems relative to patient expectations of involvement in cancer treatment decision making. Study Design: Meta-analysis. Methods: Individual patient data were compiled across 6 clinical studies among 3491 patients with cancer who completed the 2-item Control Preferences Scale indicating the roles they preferred versus actually experienced in treatment decision making. Results: The roles in treatment decision making that patients preferred were 26% active, 49% collaborative, and 25% passive. The roles that patients reported actually experiencing were 30% active, 34% collaborative, and 36% passive. Roughly 61% of patients reported having their preferred role; only 6% experienced extreme discordance between their preferred versus actual roles. More men than women (66% vs 60%, P = .001) and more US patients than Canadian patients (84% vs 54%, P |
