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Patient participation in decision‐making on the introduction of home respiratory care

Who does not participate

Bibliographic Data

ID19507326
AuthorsPäivi M Hämäläinen (Ministry of Social Affairs and Health), Marja‐Leena Perälä, Tuija Poussa (0000-0003-1452-0974, Tampere University), Marjaana Pelkonen (Ministry of Social Affairs and Health)
Year2003
Volume6
Issue2
Pages118-127
Publication date2003-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1046/j.1369-6513.2003.00217.x
PMID12752740
OpenAlexW1913078259
LanguageEN
Citations received1
References cited22

Objectives In this study we examined home respiratory patients' participation in decision‐making on whether to begin home respiratory care therapy, and this participation in decision‐making during the latest visit to the clinic. Subjects and methods The target population consisted of patients who were using home respiratory care devices and who were visiting the outpatient clinics. Postal questionnaires were sent to 4159 patients (40% of respiratory care device users in Finland). A total of 3336 answered (response rate 80%) and 3153 were eligible for analysis. Odds ratios, chi‐square tests, Mann–Whitney U ‐test and stepwise logistic regression analysis were used in the data analyses. Results Patients who did not participate in decision‐making were more frequently older people, women and had lower income than the other patients. While these results parallel those of previous studies, in contrast we found more women with high education to be non‐participants. Non‐participants were not participating in decision‐making during their latest visit to the clinic in spite of the fact that they considered participation almost as important as did the other patients. Non‐participants were less satisfied with the quality of care given and felt that their life had improved less than did the other patients. Conclusion The ethical principle of equal opportunities to participate in care decisions was not applied among home respiratory care patients in this study. The results challenge health‐care professionals to notice inequalities and improve their practices. The results can be generalized to all home respiratory care patients in Finland

Family medicine · Health care · Intensive care medicine · Logistic regression · Notice · Odds · Odds ratio · Population · Respiratory care · Healthcare Decision-Making and Restraints · Medicine · Neonatal Respiratory Health Research · Nursing · Respiratory Support and Mechanisms · Internal Medicine

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    Jochanan Benbassat, Dina Pilpel et al.•Behavioral Medicine•1998

  • Decision aids for people facing health treatment or screening decisions

    Dawn Stacey, France Légaré et al.•Cochrane Database of Systematic…•2017

  • Participation

    Open Access•Arthur Brownlea•Social Science & Medicine•1987

  • Patients' choices and perceptions after an invitation to participate in treatment decisions

    Open Access•Stephanie Legg England, Jeremy Evans•Social Science & Medicine•1992

  • Patient participation in decision-making

    Open Access•Edward Guadagnoli, Patricia Ward•Social Science & Medicine•1998

Unique citing works1
Citations per year0.06
Citation span2008 - 2008 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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