Harding Andrew J E, Sanders Frances, Lara Antonieta Medina, van Teijlingen Edwin R, Wood Cate, Galpin Di, Baron Sue, Crowe Sam, Sharma Sheetal
School of Health & Social Care, Bournemouth University, Bournemouth House, 19 Christchurch Road, Bournemouth, Dorset BH1 3LH, UK.
Westbourne Medical Centre, Milburn Road, Bournemouth, Dorset BH4 9HJ, UK.
ISRN Family Med. 2014 Mar 4;2014:742676. doi: 10.1155/2014/742676. eCollection 2014.
In the English National Health Service (NHS), patients are now expected to choose the time and place of treatment and even choose the actual treatment. However, the theory on which patient choice is based and the implementation of patient choice are controversial. There is evidence to indicate that attitudes and abilities to make choices are relatively sophisticated and not as straightforward as policy developments suggest. In addition, and surprisingly, there is little research on whether making individual choices about care is regarded as a priority by the largest NHS patient group and the single largest group for most GPs-older people. This conceptual paper examines the theory of patient choice concerning accessing and engaging with healthcare provision and reviews existing evidence on older people and patient choice in primary care.
在英国国家医疗服务体系（NHS）中，现在期望患者选择治疗的时间和地点，甚至选择实际的治疗方式。然而，患者选择所基于的理论以及患者选择的实施存在争议。有证据表明，做出选择的态度和能力相对复杂，并非像政策发展所暗示的那样简单直接。此外，令人惊讶的是，对于NHS最大的患者群体以及大多数全科医生最大的单一群体——老年人而言，关于对护理进行个人选择是否被视为优先事项，几乎没有相关研究。这篇概念性论文探讨了关于获取和参与医疗保健服务的患者选择理论，并回顾了关于老年人和初级保健中患者选择的现有证据。
