scholarly journals Analysis of Cancer Patient Decision-making and Health Service Utilization after Enforcement of the Life-Sustaining Treatment Decision-Making Act in Korea

2021 ◽  
Author(s):  
Dalyong Kim ◽  
Shin Hye Yoo ◽  
Seyoung Seo ◽  
Hyun Jung Lee ◽  
Min Sun Kim ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Service ◽  
Cancer Patient ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Treatment Decision ◽  
Patient Decision Making ◽  
Treatment Decision Making ◽  
Patient Decision ◽  
Life Sustaining Treatment

scholarly journals Patient Decision Aids in Doctor-Patient Consultations: Treatment Decision Making on Starting Insulin

2017 ◽  
Vol 9 (4-2) ◽  
Author(s):  
Zuraidah Mohd Don ◽  
Ayeshah Syed
Keyword(s):  
Decision Making ◽  
Decision Aids ◽  
Treatment Decision ◽  
Information Provision ◽  
Patient Decision Aids ◽  
Demographic Profiles ◽  
Treatment Decision Making ◽  
Healthcare Settings ◽  
Patient Decision

Patient decision aids (PDAs) are increasingly used to support treatment decision making in type 2 diabetes. However, research on PDAs generally involves quantitative analysis or focuses on physicians’ communicative practices, with limited data on how PDAs are used collaboratively in doctor-patient consultations. We apply discourse analytic methods to 11 recorded consultations during which a PDA on starting insulin was used. Purposive sampling was used to select participants from different healthcare settings and demographic profiles. Our analysis first addresses general questions on PDA use in the consultations, such as when it was used or mentioned in the consultation and by whom, before categorising the turns in which the PDA is mentioned or used by doctors and patients, according to the actions being performed. Next, we focus on consultations in which the patients have already read the PDA, and analyse the sequences of talk that occur after the doctor brings the PDA into the conversation. Our analysis shows that doctor talk on the PDA not only facilitated information provision, but also allowed doctors to elicit and explore the patient’s knowledge and perspectives. However, the kinds of questions that doctors asked tend to limit patient participation, and their focus on the PDA at times overshadowed patient contributions. More attention to doctors’ discursive choices can facilitate more patient-centred practices in using PDAs.

scholarly journals Transanal Endoscopic Microsurgery (TEMS) for Rectal Cancer: Patient Decision-making, Postoperative Experience and Quality of Life

In Vivo ◽  
2021 ◽  
Vol 35 (2) ◽  
pp. 1235-1245
Author(s):  
ALEXANDRA KORELI ◽  
GEORGE BRIASSOULIS ◽  
MICHAIL SIDERIS ◽  
ANASTAS PHILALITHIS ◽  
SAVVAS PAPAGRIGORIADIS
Keyword(s):  
Quality Of Life ◽  
Decision Making ◽  
Rectal Cancer ◽  
Cancer Patient ◽  
Transanal Endoscopic Microsurgery ◽  
Rectal Cancer Patient ◽  
Patient Decision Making ◽  
Patient Decision ◽  
Endoscopic Microsurgery

scholarly journals The relation between cancer patient treatment decision-making roles and quality of life

Cancer ◽  
2013 ◽  
Vol 119 (12) ◽  
pp. 2342-2349 ◽  
Author(s):  
Pamela J. Atherton ◽  
Tenbroeck Smith ◽  
Jasvinder A. Singh ◽  
Jef Huntington ◽  
Brent B. Diekmann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Decision Making ◽  
Cancer Patient ◽  
Treatment Decision ◽  
Patient Treatment ◽  
Treatment Decision Making

scholarly journals Two-fifths of women are not autonomous in maternal health service utilization: A community-based cross-sectional study

2021 ◽  
Author(s):  
Asmamaw Kassahun ◽  
Asrat Zewdie
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Maternal Health Care ◽  
Maternal Health Service ◽  
Health Care Decision ◽  
Care Decision

Abstract Background: Autonomy of women in health care decision-making is tremendously crucial for improved maternal health outcomes and women’s empowerment. Women with greater freedom of movement are more likely to receive maternal health services. However, little has been investigated about women’s autonomy in maternal health care decision-making and contributing factors in Ethiopia. The aim of this study was to assess decision-making autonomy on maternal health care services utilization and associated factors among women.Methods: A community-based cross-sectional study was conducted in Mettu rural Woreda, Ilu Aba Bor zone, southwest Ethiopia from June 19 to August 20, 2021. Data was collected using a pretested interviewer-administered questionnaire from 541 randomly selected women. The collected data was entered into Epi-Data version 3.1 and exported to SPSS version 22 for analysis. Bivariate and multivariate logistic regression was used to identify factors associated with women's decision-making autonomy on maternal health service utilization. The significance of association was declared by using the odds ratio with a 95% confidence interval and a p-value less than 0.05 in the multivariable model.Results: Out of 522 women included in the analysis, 322 (60.5%) (95% CI: 56.2%-64.7%) were found to be autonomous on maternal health service utilization. Age category from 30-39 years, AOR=4.27 (95%CI: 1.59-11.43), attending primary education and above, AOR=3.87 (95%CI: 2.15-6.99), greater than five family size, AOR=0.25 (95%CI: 0.15-0.41), and distance from the health facility, AOR=5.33 (95%CI: 2.50-11.33) were significantly associated with women's decision-making autonomy on maternal health care services utilization.Conclusion: Even though every woman has the right to participate in her own health care decision-making, around two fifths of them have no role in making health care decisions about their own health. Socio-demographic factors like age and education were found to influence women’s autonomy. Special attention has to be given to women living in rural areas in order to reduce their dependency through education.

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