Google+ Cancer care 'rated more highly' if patients can share decisions | Safe Radiotherapy

Cancer care ‘rated more highly’ if patients can share decisions

Facebooktwittergoogle_pluspinterestlinkedinby feather
Doctors do not always know best, the study suggests, and - especially for cancer - need to involve patients in decisions

Doctors do not always know best, the study suggests, and – especially for cancer – need to involve patients in decisions

Decision-making controlled by doctors leads to poorer ratings from cancer patients on the quality of their care and physician communication, a survey reveals. It shows that reaching decisions in a shared way with patients is important even for those patients who prefer their doctors to take the control.

Dr. Nancy Keating, from Harvard Medical School in Boston, MA, worked with her co-authors on survey results from patients diagnosed with lung or colorectal cancer. The study analyzed responses from 5,315 patients about the decision-making roles behind 10,817 treatment decisions.

All the patients’ answers were drawn from a large study known as CanCORS, and Dr. Keating’s analysis was designed to assess the relationship between how patients play a role in decisions and how they report the quality of their care and rate their physician’s communication.

Most patients, 58%, expressed a preference for a shared approach between themselves and their doctor when it came to decisions about treatments. The patients reported, however, that less than half, 44%, of decisions were shared, and that 17% were controlled by physicians.

The quality of care was rated as “excellent” by:

  • Just under 70% of the patients who said they shared the decision-making
  • Less than 60% of the patients who said they had treatment decisions made for them.

In contrast to responses varying by styles of decision-making actually received, the proportion giving the highest rating did not vary by the style that patients preferred.

The excellent rating hovered around the 67-68% mark regardless of whether patients preferred to lead decisions, share them, or have them controlled by their doctors.

Read the whole story: http://www.medicalnewstoday.com/articles/289391.php

Facebooktwittergoogle_pluspinterestlinkedinby feather

You must be logged in to post a comment Login