A Multinational Study of Patient Preferences for How Decisions Are Made in Their Care

Inadequate consideration has been given to patient preferences for patient-centered care (PCC) across countries or cultures in our increasingly global society. We examined what 1,698 participants from the United States, Hong Kong, Philippines, and Australia described as important when making health...

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Bibliographic Details
Published in:Medical care research and review Vol. 80; no. 2; pp. 205 - 215
Main Authors: Pines, Rachyl, Sheeran, Nicola, Jones, Liz, Pearson, Annika, Pamoso, Aron H., Jin, Yin (Blair), Benedetti, Maria
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01-04-2023
SAGE PUBLICATIONS, INC
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Summary:Inadequate consideration has been given to patient preferences for patient-centered care (PCC) across countries or cultures in our increasingly global society. We examined what 1,698 participants from the United States, Hong Kong, Philippines, and Australia described as important when making health care decisions. Analysis of frequencies following directed content coding of open-ended questions revealed differences in patients’ preferences for doctor behaviors and decision-making considerations across countries. Being well informed by their doctor emerged as most important in decision-making, especially in Hong Kong. Participants in Australia and the United States wanted their doctor to meet their emotional needs. The safety and efficacy of treatments were the most common consideration, especially for Hong Kong. Findings suggest that doctors should focus on information exchange and identifying patient concerns about efficacy, lifestyle impact, cost, and recovery speed. Rather than assuming patients prefer shared decision-making, doctors must assess patient’s decision control preferences.
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ISSN:1077-5587
1552-6801
DOI:10.1177/10775587221108749