Ruiz Moral Roger, Peralta Munguia Lucía, Pérula de Torres Luis Ángel, Olloqui Mundet Jorge, Carrión de la Fuente Teresa, Sobrino López Ana, Losilla Domínguez Mercedes, Martínez Lechuga Mariana
Medicina de Familia, Unidad Docente Provincial de Medicina de Familia de Córdoba, Servicio Andaluz de Salud, Córdoba, España.
Aten Primaria. 2012 Jan;44(1):5-10. doi: 10.1016/j.aprim.2010.12.011. Epub 2011 Apr 15.
To find out the views of the patient on their participation in decision making (DM) when visiting their family physician.
A cross-sectional, qualitative and quantitative study.
Patients attending their family doctors in diverse geographical Health Centres.
Personal interviewing using different kinds of questions (close-ended, close-ended with options and open-ended questions).
Patients participation: 658 (52 ± 17.4 years, 62% females, consulting with 97 doctors (from urban centres: 36 (458); rural centres: 22 (200). Most patients (94%; 620) declared to be satisfied with DM and up to 41% (266) thought that DM should be taken only by the doctor. Nevertheless, after the consultation 60% of patients (360) confirmed that they would have liked the physician to have asked them for their opinion, but the doctor did not encourage them to do this. Furthermore, patients considered information, discussion about options, ways to make decisions, medical advice, active listening and empathy as key aspects to encourage them to participate.
After a medical consultation, most patients wanted to give their opinion about the proposals of treatment. Nevertheless, they felt that their doctors offered them these opportunities on very few occasions. Some types of questions are better than others in detecting of these kinds of needs, and are more useful to design strategies for involving patients in the DM process.
了解患者在就诊于家庭医生时对参与决策的看法。
一项横断面、定性与定量研究。
在不同地理位置的健康中心就诊于家庭医生的患者。
使用不同类型的问题（封闭式、带选项的封闭式和开放式问题）进行个人访谈。
患者参与情况：658名患者（年龄52±17.4岁，62%为女性，与97名医生进行咨询，其中来自城市中心的医生36名（458名患者），来自农村中心的医生22名（200名患者）。大多数患者（94%；620名）表示对决策过程满意，高达41%（266名）的患者认为决策应由医生独自做出。然而，在咨询后，60%的患者（360名）确认他们希望医生询问他们的意见，但医生并未鼓励他们这样做。此外，患者认为信息、关于选项的讨论、决策方式、医疗建议、积极倾听和同理心是鼓励他们参与的关键方面。
在一次医疗咨询后，大多数患者希望对治疗方案发表意见。然而，他们觉得医生很少给他们这样的机会。某些类型的问题在发现这类需求方面比其他问题更好，并且对于设计让患者参与决策过程的策略更有用。
