Ho M, Lavery B, Pullar T
Rheumatic Diseases Unit, Ninewells Hospital, Dundee.
Br J Rheumatol. 1998 Apr;37(4):459-60. doi: 10.1093/rheumatology/37.4.459.
Despite its importance, there is no well-validated method of measuring patients' concept of 'acceptable' risk of medical treatment. Numerical methods give widely varying results depending on the methodology. We have attempted to assess 'acceptable' risk using relative comparisons. We administered a questionnaire to 67 patients with rheumatoid arthritis (RA). In general, patients' estimate of acceptable risk was less than the actual risk of treatment. Some illogical choices were made, showing poor understanding by patients of the concepts of risk and risk:benefit ratio. Patients appeared willing to accept higher levels of risk from procedures than from drug treatment. Willingness to accept risk in exchange for successful treatment of their RA did not correlate with disease severity, age, willingness to take non-medical risks or family responsibilities.
尽管其很重要，但目前尚无经过充分验证的方法来衡量患者对医疗“可接受”风险的概念。数值方法根据所采用的方法会得出差异很大的结果。我们试图通过相对比较来评估“可接受”风险。我们对67名类风湿性关节炎（RA）患者进行了问卷调查。总体而言，患者对可接受风险的估计低于实际治疗风险。患者做出了一些不合逻辑的选择，表明他们对风险和风险效益比的概念理解不佳。患者似乎愿意接受手术带来的更高风险水平，而不是药物治疗。为成功治疗类风湿性关节炎而接受风险的意愿与疾病严重程度、年龄、承担非医疗风险的意愿或家庭责任无关。
