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dc.contributor.authorBeaver, Kinta
dc.contributor.authorJones, David R
dc.contributor.authorSusnerwala, Shabbir
dc.contributor.authorCraven, Olive
dc.contributor.authorTomlinson, Mary
dc.contributor.authorWitham, Gary
dc.contributor.authorLuker, Karen
dc.date.accessioned2009-08-06T14:13:34Z
dc.date.available2009-08-06T14:13:34Z
dc.date.issued2005-06
dc.identifier.citationExploring the decision-making preferences of people with colorectal cancer. 2005, 8 (2):103-13 Health Expecten
dc.identifier.issn1369-6513
dc.identifier.pmid15860051
dc.identifier.doi10.1111/j.1369-7625.2005.00320.x
dc.identifier.urihttp://hdl.handle.net/10541/76553
dc.description.abstractOBJECTIVES: To explore patient views on participation in treatment, physical care and psychological care decisions and factors that facilitate and hinder patients from making decisions. DESIGN: Qualitative study using semi-structured interviews with patients. SETTING AND PARTICIPANTS: Three NHS Trusts in the north-west of England. Theoretical sampling including 41 patients who had been treated for colorectal cancer. RESULTS: For patients, participation in the decision-making process was about being informed and feeling involved in the consultation process, whether patients actually made decisions or not. The perceived availability of treatment choices (surgery, radiotherapy, chemotherapy) was related to type of treatment. Factors that impacted on whether patients wanted to make decisions included a lack of information, a lack of medical knowledge and trust in medical expertise. Patients perceived that they could have a more participatory role in decisions related to physical and psychological care. CONCLUSION: This study has implications for health professionals aiming to implement policy guidelines that promote patient participation and shared partnerships. Patients in this study wanted to be well informed and involved in the consultation process but did not necessarily want to use the information they received to make decisions. The presentation of choices and preferences for participation may be context specific and it cannot be assumed that patients who do not want to make decisions about one aspect of their care and treatment do not want to make decisions about other aspects of their care and treatment.
dc.language.isoenen
dc.subjectColorectal Canceren
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshColorectal Neoplasms
dc.subject.meshDecision Making
dc.subject.meshFemale
dc.subject.meshGreat Britain
dc.subject.meshHumans
dc.subject.meshInterviews as Topic
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPatient Participation
dc.subject.meshPatient Satisfaction
dc.subject.meshState Medicine
dc.titleExploring the decision-making preferences of people with colorectal cancer.en
dc.typeArticleen
dc.contributor.departmentSchool of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK. kinta.beaver@manchester.ac.uken
dc.identifier.journalHealth Expectationsen
refterms.dateFOA2020-09-18T10:19:23Z
html.description.abstractOBJECTIVES: To explore patient views on participation in treatment, physical care and psychological care decisions and factors that facilitate and hinder patients from making decisions. DESIGN: Qualitative study using semi-structured interviews with patients. SETTING AND PARTICIPANTS: Three NHS Trusts in the north-west of England. Theoretical sampling including 41 patients who had been treated for colorectal cancer. RESULTS: For patients, participation in the decision-making process was about being informed and feeling involved in the consultation process, whether patients actually made decisions or not. The perceived availability of treatment choices (surgery, radiotherapy, chemotherapy) was related to type of treatment. Factors that impacted on whether patients wanted to make decisions included a lack of information, a lack of medical knowledge and trust in medical expertise. Patients perceived that they could have a more participatory role in decisions related to physical and psychological care. CONCLUSION: This study has implications for health professionals aiming to implement policy guidelines that promote patient participation and shared partnerships. Patients in this study wanted to be well informed and involved in the consultation process but did not necessarily want to use the information they received to make decisions. The presentation of choices and preferences for participation may be context specific and it cannot be assumed that patients who do not want to make decisions about one aspect of their care and treatment do not want to make decisions about other aspects of their care and treatment.


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