Department of Family and Community Medicine, UCSF, San Francisco, CA, USA.
Patient Educ Couns. 2010 Dec;81(3):343-8. doi: 10.1016/j.pec.2010.06.021. Epub 2010 Jul 21.
Studies suggest that not all patients desire shared decision making, and little is known about decision making around contraception. This study compared decision-making preferences for contraception to preferences for general health among reproductive-aged women.
257 women receiving abortion care in an urban hospital completed a survey which included questions adapted from the Problem-Solving Decision-Making Scale about their preferences for medical decision making.
Women were significantly more likely to desire autonomous decision making about contraception than about their general health care (50% vs. 19%, p<.001). No patient characteristics were associated with contraceptive decision-making preferences. Women with Medicaid insurance were more likely to desire autonomous decision making about contraception than about general health care (51% vs. 17%, p<.001).
Women desire more autonomy in their contraceptive decisions than in their decisions about general health care.
Health care providers should be attentive to the existence of variation in preferences in decision making across health domains. Contraceptive providers should proactively assess decisional preferences to ensure the most appropriate counseling is provided to each individual.
研究表明，并非所有患者都希望共同决策，而对于避孕决策则知之甚少。本研究比较了生殖年龄段女性对避孕决策和一般健康决策的偏好。
在一家城市医院接受堕胎护理的 257 名女性完成了一项调查，该调查包括了一些改编自问题解决决策量表的问题，询问了她们对医疗决策的偏好。
与一般医疗保健相比，女性更倾向于对避孕做出自主决策（50%比 19%，p<.001）。没有患者特征与避孕决策偏好相关。拥有医疗补助保险的女性更倾向于对避孕做出自主决策，而不是一般医疗保健（51%比 17%，p<.001）。
与一般医疗保健相比，女性在避孕决策方面更希望自主决策。
医疗保健提供者应注意在不同健康领域的决策中存在偏好的差异。避孕提供者应主动评估决策偏好，以确保向每个个体提供最适当的咨询。
