ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2007
Patients' involvement in decisions about medicines: GPs' perceptions of their preferences.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient preferences for shared decisions: a systematic review.Patient education and counseling · 2012Pooled it
- Implementation suggestions for shared decision-making: results from a comparative study of inpatients and outpatients experience surveys.BMC health services research · 2025Article
- Are Iranian patients willing to receive clinical information and participate in treatment decisions?Journal of medical ethics and history of medicine · 2024Article
- MediQuit, an Electronic Deprescribing Tool for Patients on Polypharmacy: Results of a Feasibility Study in German General Practice.Drugs & aging · 2021Article
- Impact of Physician-Patient Communication in Online Health Communities on Patient Compliance: Cross-Sectional Questionnaire Study.Journal of medical Internet research · 2019Article
- Shared decision making: relevant concepts and facilitating strategies.Epidemiology and health · 2017Article
- Typologies in GPs' referral practice.BMC family practice · 2016Observational
- Patient involvement in decision-making: a cross-sectional study in a Malaysian primary care clinic.BMJ open · 2016Article
- Article
- Advance Directives and Communication Skills of Prehospital Physicians Involved in the Care of Cardiovascular Patients.Medicine · 2015Article
- Decision aids that really promote shared decision making: the pace quickens.BMJ (Clinical research ed.) · 2015Article
- What are judgment skills in health literacy? A psycho-cognitive perspective of judgment and decision-making research.Patient preference and adherence · 2015Review
- Issues potentially affecting quality of life arising from long-term medicines use: a qualitative study.International journal of clinical pharmacy · 2013Article
- Establishing visit priorities for complex patients: A summary of the literature and conceptual model to guide innovative interventions.Healthcare (Amsterdam, Netherlands) · 2013Article
- Medicines use reviews: a potential resource or lost opportunity for general practice?BMC family practice · 2013Article
- The challenge of long waiting lists: how we implemented a GP referral system for non-urgent specialist' appointments at an Australian public hospital.BMC health services research · 2010Review
- Unstated factors in orthopaedic decision-making: a qualitative study.BMC musculoskeletal disorders · 2010Article
- Choosing, deciding, or participating: what do patients want in primary care?The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- When should you involve patients in treatment decisions?The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients vary in their desire to be involved in decisions about their care.
aimTo assess the accuracy and impact of GPs' perceptions of their patients' desire for involvement. DESIGN OF STUDY: Consultation-based study.
settingFive primary care centres in south London.
methodConsecutive patients completed decision-making preference questionnaires before and after consultation. Eighteen GPs completed a questionnaire at the beginning of the study and reported their perceptions of patients' preferences after each consultation. Patients' satisfaction was assessed using the Medical Interview Satisfaction Scale. Analyses were conducted in 190 patient-GP pairs that identified the same medicine decision about the same main health problem.
resultsA total of 479 patients participated (75.7% of those approached). Thirty-nine per cent of these patients wanted their GPs to share the decision, 45% wanted the GP to be the main (28%) or only (17%) decision maker regarding their care, and 16% wanted to be the main (14%) or only (2%) decision maker themselves. GPs accurately assessed patients' preferences in 32% of the consultations studied, overestimated patients' preferences for involvement in 45%, and underestimated them in 23% of consultations studied. Factors protective against GPs underestimating patients' preferences were: patients preferring the GP to make the decision (odds ratio [OR] 0.2 per point on the five-point scale; 95% confidence interval [CI] = 0.1 to 0.4), and the patient having discussed their main health problem before (OR 0.3; 95% CI = 0.1 to 0.9). Patients' educational attainment was independently associated with GPs underestimation of preferences.
conclusionGPs' perceptions of their patients' desire to be involved in decisions about medicines are inaccurate in most cases. Doctors are more likely to underestimate patients' preferred level of involvement when patients have not consulted about their condition before.
Indexed as
Identifiers
17925134PMC2151809What OpenQuestion holds
Registered trials
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