Stepping into the Cancer Patients: Qualitative Study on Elements of Patients’ Participation in Medical Decision-making and their Health Outcomes
10.12026/j.issn.1001-8565.2022.11.11
- VernacularTitle:走进癌症患者：患者参与医疗决策要素及健康结果的质性研究
- Author:
Jingxi CHEN
1
;
Xiaoyu ZHANG
1
;
Bingqing ZHU
2
;
Liang ZHAO
3
Author Information
1. School of Language and Communication Studies, Beijing Jiaotong University, Beijing 100044, China
2. School of Literature and Journalism, Shangrao Normal University, Shangrao 334001, China
3. Cancer Hospital Chinese Academy of Medical Sciences, Beijing 100044, China
- Publication Type:Journal Article
- Keywords:
Cancer;
Doctor-patient Communication;
Patients Participation;
Medical Decision-making;
Qualitative Research
- From:
Chinese Medical Ethics
2022;35(11):1230-1240
- CountryChina
- Language:Chinese
-
Abstract:
In order to understand the actual needs and influencing factors of cancer patients to participate in medical decision-making, 29 cancer patients were selected for semi-structured interviews by purpose sampling from September 2020 to February 2021, and the data were analyzed by substantive coding step by step according to interview method. The results showed that the quality of patient-clinician interaction was an important factor influencing the decision quality. The elements for cancer patients to participate in medical decision-making include: patients’ disease knowledge, awareness of choice, communication duration, support from family members and doctors, and mutual trust between doctors and patients. Medical staff should respect patients’ preference to participate in medical decision-making, break the medical-centered system arrangement, help patients obtain services matching their preferences for participating in decision-making, and achieve a pattern that is beneficial to both patients and the medical system.
