Abstract:
Inadequate consideration has been given to patient preferences for patient-centered care (PCC) across countries or cultures in our increasingly global society. We examined what 1,698 participants from the United States, Hong Kong, Philippines, and Australia described as important when making health care decisions. Analysis of frequencies following directed content coding of open-ended questions revealed differences in patients\' preferences for doctor behaviors and decision-making considerations across countries. Being well informed by their doctor emerged as most important in decision-making, especially in Hong Kong. Participants in Australia and the United States wanted their doctor to meet their emotional needs. The safety and efficacy of treatments were the most common consideration, especially for Hong Kong. Findings suggest that doctors should focus on information exchange and identifying patient concerns about efficacy, lifestyle impact, cost, and recovery speed. Rather than assuming patients prefer shared decision-making, doctors must assess patient\'s decision control preferences.
摘要:
在我们日益全球化的社会中,各个国家或文化中的患者对以患者为中心的护理(PCC)的偏好考虑不足。我们检查了来自美国的1698名参与者,香港,菲律宾,和澳大利亚描述为在做出医疗保健决策时很重要。开放式问题的定向内容编码后的频率分析显示,各国患者对医生行为和决策考虑的偏好存在差异。在他们的医生那里得到充分的信息是决策中最重要的,尤其是在香港。澳大利亚和美国的参与者希望他们的医生满足他们的情感需求。治疗的安全性和有效性是最常见的考虑因素,尤其是香港。研究结果表明,医生应专注于信息交流和确定患者对疗效的担忧,生活方式的影响,成本,和恢复速度。与其假设患者更喜欢共同决策,医生必须评估病人的决策控制偏好。