Browse > Article
http://dx.doi.org/10.14371/QIH.2018.24.1.40

Patients' Participation in Treatment Decision Making and Health Status  

Yoon, Nan-He (Department of Health Administration, Hanyang Cyber University)
Publication Information
Quality Improvement in Health Care / v.24, no.1, 2018 , pp. 40-52 More about this Journal
Abstract
Purpose: This study aimed to identify the factors influencing on patients' participation in their treatment decision making, and influences of patients' experience on their health status. Methods: Data from the 2015 Korea National Health and Nutrition Examination Survey were used for the analysis. Multivariate logistic regression analysis was conducted to identify the factors influencing on patients' participation in their treatment decision making. The influences of patients' experience on their health status were analyzed using multiple linear regression analysis. Results: Of the 4,497 respondents, 3,698 (82.2%) respondents mostly participated in their treatment decision making. Those who experienced enough visit duration, physicians' explanation easy enough to understand, or more opportunities to ask were more likely to participate in their treatment decision making. After controlling for their sociodemographic factors and health status, those who had better experience during the outpatient visits were more likely to have better self-rated health or quality of life. Conclusion: To improve patients' health outcomes and satisfaction of health care uses, it is necessary to provide better experiences and expand the opportunities for participation in treatment decision making during their hospital visits.
Keywords
Patients' participation; Patients' experience; Shared decision making; Korea national health and nutrition examination survey;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Towle A, Godolphin W. Framework for teaching and learning informed shared decision making. BMJ. 1999;319(7212):766-71.   DOI
2 Savage R, Armstrong D. Effect of a general practitioner’s consulting style on patients’ satisfaction: a controlled study. BMJ. 1990;301:968-70.   DOI
3 Institute of Medicine (IOM). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.
4 LaVela SL, Gallan AS. Evaluation and measurement of patient experience. Patient Experience Journal. 2014;1(1):28-36.   DOI
5 Black N, Jenkinson C. Measuring patients’ experiences and outcomes. BMJ. 2009;339:b2495.   DOI
6 Centers for Medicare & Medicaid Services (CMS). Hospital value-based purchasing [Internet]. Baltimore, MD: CMS; 2013 [cited 2018 May 20]. Available from: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Hospital_VBPurchasing_Fact_Sheet_ICN907664.pdf.
7 Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;3(1):e001570.   DOI
8 Reeves R, West E, Barron D. Facilitated patient experience feedback can improve nursing care: a pilot study for a phase III cluster randomised controlled trial. BMC Health Service Research. 2013;4(13):259.
9 Grol R. Improving the quality of medical care. Building bridges among professional pride, payer profit, and patient satisfaction. JAMA. 2001;286(20):2578-85.   DOI
10 Crawford MJ, Aldridge T, Bhui K, Rutter D, Manley C, Weaver T, et al. User involvement in the planning and delivery of mental health services: a cross-sectional survey of service users and providers. Acta Psychiatrica Scandinavica. 2003;107(6):410-4.   DOI
11 Edwards A, Elwyn G. Inside the black box of shared decision making: distinguishing between the process of involvement and who makes the decision. Health Expectations. 2006;9(4):307-20.   DOI
12 Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango). Social Science & Medicine. 1997;44(5):681-92.   DOI
13 Ong LML, DeHaes JCJM, Hoos AM, Lammes FB. Doctor-patient communication: a review of the literature. Social Science & Medicine. 1995;40(7):903-18.   DOI
14 Rimondini M, Del Piccolo L, Goss C, Mazzi M, Paccaloni M, Zimmermann C. Communication skills in psychiatry residents - How do they handle patient concerns?. Psychotherapy and Psychosomatics. 2006;75(3):161-9.   DOI
15 Suh WS, Lee CK. Impact of shared-decision making on patient satisfaction. Journal of Preventive Medicine and Public Health. 2010;43(1):26-34.   DOI
16 Kim MY, Kim YJ, Lee EM. Patient’s characteristics influencing patient’s comprehensibleness of doctor’s explanation. Quality Improvement in Health Care. 2017;23(2):57-66.   DOI
17 Agency for Healthcare Research and Quality (AHRQ). Relating patient experience to other quality measures [Internet]. Rockville, MD: AHRQ; 2017 [cited 2018 May 20]. Available from: https://www.ahrq.gov/cahps/about-cahps/patient-experience/index.html.
18 Beisecker AE, Beisecker TD. Patient information-seeking behaviors when communicating with doctors. Medical Care. 1990;28(1):19-28.   DOI
19 Shin JW. People-centered health care system and patients' experience in health service use. Health․Social Issue & Focus. 2017;330.
20 Degner LF, Kristjanson LJ, Bowman D. Information needs and decisional preferences in women with breast cancer. JAMA. 1997;277(18):1485-92.   DOI
21 Joosten EAG, DeFuentes-Merillas L, deWeert GH, Sensky T, van der Stakk CPF, deJong CAJ. Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence and health status. Psychotherapy and Psychosomatics. 2008;77:219-26.   DOI
22 Davies E, Shaller D, Edgman-Levitan S, Safran DG, Oftedahl G, Sakowski J, et al. Evaluating the use of a modified CAHPS survey to support improvements in patient-centered care: Lessons from a quality improvement collaborative. Health Expectations. 2008;11(2):160-76.   DOI
23 Bjertnaes OA, Sjetne IS, Iversen HH. Overall patient satisfaction with hospitals: effects of patient-reported experiences and fulfilment of expectations. BMJ Quality & Safety. 2012;21(1):39-46.   DOI
24 Boulding W, Glickman SW, Manary MP, Schulman KA, Staelin R. Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days. The American Journal of Managed Care. 2011;17(1):41-8.
25 Say RE, Thomson R. The importance of patient preferences in treatment decisions-challenges for doctors. BMJ. 2003;327:542-5.   DOI
26 Kim M, Park S. Healthcare utilization and patient experience of Korean adults: The 6th Korea National Health and Nutrition Examination Survey(2015). Korean Journal of Health Communication. 2017;12(2):223-35.
27 Chungnam National University. EQ-5D Korean valuation study using Time Trade Off method. Osong, Korea: Korea Centers for Disease Control & Prevention; 2007.