Hamann Johannes, Mendel Rosmarie, Schebitz Matthias, Reiter Sarah, Bühner Markus, Cohen Rudolf, Berthele Achim, Kissling Werner
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Technische Universität München, München, Germany.
J Nerv Ment Dis. 2010 Apr;198(4):309-11. doi: 10.1097/NMD.0b013e3181d6128c.
There is evidence that an optimal match of patients' participation preferences improves health outcomes. Since it is unknown whether psychiatrists and neurologists can predict their patients' participation preferences we performed a cross-sectional survey involving N = 101 inpatients with schizophrenia/schizoaffective disorder and N = 102 inpatients with multiple sclerosis. Both patients and their physicians in charge were surveyed with respect to the patients' participation preferences, using the Autonomy Preference Index and a global estimate. Most patients wished to participate in medical decision making. Doctors performed poorly when predicting their individual patients' participation preferences and tended to overestimate their patients' participation preferences. A longer duration of the hospital stay did not improve the accuracy of doctors' estimates. Thus, neurologists and psychiatrists fail at predicting their patients' participation preferences accurately, which might challenge patients' treatment satisfaction. More attention in the consultation should be paid to patients' preferences.
有证据表明，患者参与偏好的最佳匹配能改善健康结果。由于尚不清楚精神科医生和神经科医生是否能够预测其患者的参与偏好，我们开展了一项横断面调查，涉及101名精神分裂症/分裂情感性障碍住院患者和102名多发性硬化症住院患者。使用自主偏好指数和整体评估，对患者及其主管医生就患者的参与偏好进行了调查。大多数患者希望参与医疗决策。医生在预测其个体患者的参与偏好时表现不佳，且往往高估患者的参与偏好。住院时间延长并未提高医生评估的准确性。因此，神经科医生和精神科医生无法准确预测其患者的参与偏好，这可能会影响患者的治疗满意度。在会诊中应更加关注患者的偏好。
