Paternalism or partnership?
BMJPublished 18 September 1999Open access
Angela Coulter
Citations661
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ObjectiveStudy objective
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Sample sizeSample sizes
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TL;DR
The articles assembled in this issue of the BMJ consider the scope for creating meaningful partnerships between doctors and patients and between health policymakers and local communities.
Keywords
MathematicsPharmacology, Toxicology and Pharmaceutics
BMJDecision aids for patients facing health treatment or screening decisions: systematic review
877 Citations1999Annette M. O’Connor, Alaa Rostom +7 more
Social Science & MedicinePatient participation in decision-making
798 Citations1998Edward Guadagnoli, Patricia Ward
It is proposed that methods be developed to evaluate a patient's level of "readiness" to participate in decision-making and that interventions that match the patient'slevel of readiness be applied to increase participation.
Health AffairsDealing With Medical Practice Variations: A Proposal for Action
719 Citations1984John E. Wennberg
During his research pursuits, John Wennberg has uncovered systematic and persistent differences in the standardized rates of use for common surgical procedures and other medical services in the United States.
BMJFramework for teaching and learning informed shared decision making Commentary: Competencies for informed shared decision making Commentary: Proposals based on too many assumptions
641 Citations1999Angela Towle, William Godolphin +2 more
Outcomes of care and adherence to treatment regimens improve when patients are more involved and the ethical imperative of autonomy is reflected in legal trends that require a high standard of disclosure for informed consent.
BMJQuality at general practice consultations: cross sectional survey
352 Citations1999J. G. R. Howie, David Heaney +4 more
It may be time to reward doctors who have longer consultations, provide greater continuity of care, and both enable more patients and enable patients more.
BMJTowards a feasible model for shared decision making: focus group study with general practice registrars
298 Citations1999Glyn Elwyn, Anne Edwards +2 more
Assessment of the views of general practice registrars about involving patients in decisions and the feasibility of using the shared decision making model by means of simulated general practice consultations shows the steps that need to be taken if further progress is to be made in this direction.
BMJHelping patients access high quality health information
207 Citations1999Sasha Shepperd, David Charnock +1 more
Sociology of Health & IllnessDoing Nothing is No Choice: Lay Constructions of Treatment Decision‐making Among Women with Early‐stage Breast Cancer
177 Citations1998Cathy Charles, Timothy J. Whelan +3 more
It was found that many women who were presented with the choice to undergo some form of adjuvant treatment versus no treatment felt that ‘doing nothing was no choice’ and retained the idea of probability but thought that they personally would beat the odds.
Family PracticePatients' Preferences and General Practitioners' Decisions in the Treatment of Menstrual Disorders
105 Citations1994Angela Coulter, Viv Peto +1 more
Investigation of the treatment preferences of patients consulting their GPs for heavy menstrual bleeding revealed that the strongest independent predictors of the likelihood of having a treatment preference were higher education and previous consultations for gynaecological problems.
European Journal of CancerOffering Choice of treatment to patients with cancers. A review based on a symposium held at the 10th annual conference of the British psychosocial oncology group, December 1993
67 Citations1995Martin Richards, Antonio J. Ramírez +4 more
The authors wish to express their gratitude for the generous financial support provided by the Foundation for Paediatric 126,69-80.