Trauma Patients' Desire for Autonomy in Medical Decision Making is Impaired by Smoking and Hazardous Alcohol Consumption – a Bi-national Study

This cross-sectional investigation studied the association between substance use and patients' desire for autonomy in medical decision making (MDM) in two trauma settings. A total of 102 patients (age 42.7 ≤ 17.4 years, 70.6% male) admitted to an orthopaedic service in Warsaw, Poland, and 1009 injured patients (age 34.6 ≤ 12.8 years, 62.3% male) treated in an emergency department in Berlin, Germany, were enrolled. Patients' desire for autonomy in MDM was evaluated with the Decision Making Preference Scale of the Autonomy Preference Index. Substance use (hazardous alcohol consumption and/or tobacco use) and educational level were measured. Linear regression techniques were used to determine the association between substance use and desire for autonomy in MDM. Substance use was found to be independently associated with a reduced desire by the patient for autonomy in medical decision making. No differences in patients' desire for autonomy were observed between the study sites. Empowerment strategies that encourage smokers or patients with hazardous alcohol consumption to participate in MDM may increase the effectiveness of health promotion and injury prevention efforts in this population.

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The usage of social media encouraged patients' active participation in medical decision-making: cross-sectional survey (Preprint)

Journal of Participatory Medicine ◽

10.2196/11828 ◽

2018 ◽

Author(s):

Yen-Yuan Chen ◽

Yu-Fang Cheng ◽

Chau-Chung Wu ◽

Tzong-Shinn Chu

Keyword(s):

Decision Making ◽

Social Media ◽

Medical Decision Making ◽

Active Participation ◽

Medical Decision ◽

Cross Sectional Survey ◽

Cross Sectional

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Use of Online Medical Records to Support Medical Decision Making: A Cross-Sectional Study of US Adults

Journal of Health Communication ◽

10.1080/10810730.2021.1983893 ◽

2021 ◽

pp. 1-8

Author(s):

Aisha T. Langford ◽

Kerli Orellana ◽

Nancy Buderer

Keyword(s):

Decision Making ◽

Medical Records ◽

Medical Decision Making ◽

Cross Sectional Study ◽

Medical Decision ◽

Sectional Study ◽

Cross Sectional

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Use of AUDIT-C as a tool to identify hazardous alcohol consumption in admitted trauma patients

Injury ◽

10.1016/j.injury.2014.01.004 ◽

2014 ◽

Vol 45 (9) ◽

pp. 1440-1444 ◽

Cited By ~ 21

Author(s):

Jana Vitesnikova ◽

Michael Dinh ◽

Elizabeth Leonard ◽

Soufiane Boufous ◽

Katherine Conigrave

Keyword(s):

Alcohol Consumption ◽

Trauma Patients ◽

Hazardous Alcohol ◽

Hazardous Alcohol Consumption

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Alcohol control policies and socioeconomic inequalities in hazardous alcohol consumption: a 22-year cross-sectional study in a Swiss urban population

BMJ Open ◽

10.1136/bmjopen-2019-028971 ◽

2019 ◽

Vol 9 (5) ◽

pp. e028971

Author(s):

José Luis Sandoval ◽

Teresa Leão ◽

Jean-Marc Theler ◽

Thierry Favrod-Coune ◽

Barbara Broers ◽

...

Keyword(s):

Alcohol Consumption ◽

Educational Attainment ◽

Outcome Variable ◽

Cross Sectional ◽

Control Laws ◽

Occupational Level ◽

Alcohol Control ◽

Hazardous Alcohol ◽

Index Of Inequality ◽

Hazardous Alcohol Consumption

ObjectiveHarmful use of alcohol represents a large socioeconomic and disease burden and displays a socioeconomic status (SES) gradient. Several alcohol control laws were devised and implemented, but their equity impact remains undetermined.We ascertained if an SES gradient in hazardous alcohol consumption exists in Geneva (Switzerland) and assessed the equity impact of the alcohol control laws implemented during the last two decades.DesignRepeated cross-sectional survey study.SettingWe used data from non-abstinent participants, aged 35–74 years, from the population-based cross-sectional Bus Santé study (n=16 725), between 1993 and 2014.MethodsSES indicators included educational attainment (primary, secondary and tertiary) and occupational level (high, medium and low). We defined four survey periods according to the implemented alcohol control laws and hazardous alcohol consumption (outcome variable) as >30 g/day for men and >20 g/day for women.The Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were used to quantify absolute and relative inequalities, respectively, and were compared between legislative periods.ResultsLower educated men had a higher frequency of hazardous alcohol consumption (RII=1.87 (1.57; 2.22) and SII=0.14 (0.11; 0.17)). Lower educated women had less hazardous consumption ((RII=0.76 (0.60; 0.97)and SII=−0.04 (−0.07;−0.01]). Over time, hazardous alcohol consumption decreased, except in lower educated men.Education-related inequalities were observed in men in all legislative periods and did not vary between them. Similar results were observed using the occupational level as SES indicator. In women, significant inverse SES gradients were observed using educational attainment but not for occupational level.ConclusionsPopulation-wide alcohol control laws did not have a positive equity impact on hazardous alcohol consumption. Targeted interventions to disadvantaged groups may be needed to address the hazardous alcohol consumption inequality gap.

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An application of medical decision making to DIC diagnosis in trauma patients. Selection of new molecular markers and determining their optimal cut-off points.

Nihon Kyukyu Igakukai Zasshi ◽

10.3893/jjaam.4.211 ◽

1993 ◽

Vol 4 (3) ◽

pp. 211-217

Author(s):

Satoshi Gando ◽

Yuichi Kishi ◽

Toshiji Sumiya ◽

Ichiro Tedo

Keyword(s):

Decision Making ◽

Molecular Markers ◽

Medical Decision Making ◽

Medical Decision ◽

Trauma Patients ◽

Selection Of

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The Impact of Pet Care Needs on Medical Decision-Making among Hospitalized Patients: A Cross-Sectional Analysis of Patient Experience

Journal of Patient Experience ◽

10.1177/23743735211046089 ◽

2021 ◽

Vol 8 ◽

pp. 237437352110460

Author(s):

Carri S. Polick ◽

Jennifer W. Applebaum ◽

Caitlin Hanna ◽

Darnysus Jackson ◽

Sophia Tsaras-Schumacher ◽

...

Keyword(s):

Decision Making ◽

Medical Decision Making ◽

Negative Impact ◽

Care Center ◽

Tertiary Care ◽

Hospitalized Patients ◽

Medical Decision ◽

Care Needs ◽

Cross Sectional ◽

The Impact

Hospital-based protocols to support pet care needs for hospitalized patients may have potential to benefit patient health and wellbeing, but must be informed by experiences of hospitalized pet owners. The aim of this study was to determine the scope and need for pet care services among hospitalized patients. A panel of prior inpatients and their family members at a tertiary care center were surveyed about preferences, experiences, and need for assistance with pet care during hospitalization. Respondents (n = 113) expressed interest in a low/no-cost pet-boarding or foster program for adult patients struggling to find pet care assistance. The majority of respondents (n = 71; 63%) reported challenges securing pet care during a prior hospitalization, and/or knew someone who encountered similar challenges. Respondents also indicated that these challenges had a negative impact on health, recovery, or their own decision to receive medical care. Pet care challenges during hospitalization are likely common and have the potential to hamper medical decision-making and health outcomes of inpatients.

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