Blanchard C G, Labrecque M S, Ruckdeschel J C, Blanchard E B
Division of Medical Oncology, Albany Medical College, NY 12208.
Soc Sci Med. 1988;27(11):1139-45. doi: 10.1016/0277-9536(88)90343-7.
Physician behaviors and patient responses were studied in 439 interactions between hospitalized adult cancer patients and oncologists to investigate patient preferences for a participatory role in the interaction. Patients were asked their preference for information to be given (minimal; only if it is good news; or all information, good or bad) and their preference for participation in decision-making (prefer doctor makes therapeutic decisions or prefer to participate in decisions). The majority (92%) preferred all information be given, but only 69% preferred to participate in therapeutic decisions. Of those wanting all the information, 24.9% preferred the physician to make the therapeutic decisions. This group was comprised primarily of older, sicker males. Those who did not want to participate were also slightly more satisfied (P less than 0.05). These data suggest that, although most patients prefer all information to be given to them, almost one-fourth of them preferred a more authoritarian, rather than participatory, relationship with their oncologist.
在439例住院成年癌症患者与肿瘤学家的互动中，对医生行为和患者反应进行了研究，以调查患者在互动中对参与角色的偏好。询问患者对信息提供方式的偏好（最少；仅在是好消息时；或所有信息，无论好坏）以及他们对参与决策的偏好（倾向于医生做出治疗决策还是倾向于参与决策）。大多数患者（92%）希望得到所有信息，但只有69%的患者倾向于参与治疗决策。在那些想要所有信息的患者中，24.9%的患者倾向于由医生做出治疗决策。这一群体主要由年龄较大、病情较重的男性组成。那些不想参与的患者也略感更满意（P小于0.05）。这些数据表明，尽管大多数患者希望得到所有信息，但几乎四分之一的患者更倾向于与肿瘤学家建立一种更专制而非参与式的关系。
