China
Africa
Explore chapters and articles related to this topic
Counselling drug users
Published in Berry Beaumont, David Haslam, Care of Drug Users in General Practice, 2021
Patients are more likely to effect and maintain change if they perceive the benefits of change and then identify the most appropriate strategies to achieve this. They should be offered a choice (menu) of optional strategies to consider. Prescribing a single change strategy in unlikely to be as effective as the option of choice. Choice gives patients the opportunity to select approaches that meet their particular needs and situation. Empowering drug users with the freedom to select strategies also enhances personal control – if they feel that they have chosen a particular course of action they are more likely to maintain any change effect. Clarifying what is available also allows GPs to reflect upon and define the boundaries and limits of what they can provide. It then becomes evident what is required in terms of support from external agencies.
Evolution of structure, organisation and management in the NHS
Published in Robert Jones, Fiona Jenkins, Managing and Leading in the Allied Health Professions, 2021
The overall aims and objectives were summarised by Dennis24 as: Giving better care and greater choice for the patient … That there should be greater cost-effectiveness on the part of the provider, with money to follow the patient .. .
Choice: Antigone, Sophocles (441 BC)
Published in Ewan Jeffrey, David Jeffrey, Enhancing Compassion in End-of-Life Care Through Drama, 2021
Patient choice is central to the political agenda for the NHS but does not sit comfortably with its ethos. Currently, there is a political belief that choice in itself is beneficial to patients and granting choice improves care. Traditionally, choice involves the patient selecting from a menu of appropriate treatment options presented by the doctor, who has a duty to offer treatments which will benefit the patient. Choice involves both the doctor and patient, working in partnership, weighing the benefits and harms of the various alternative treatment options. There is no coercion and the responsibility for the outcome of the choice is shared between the doctor and patient. Such a model of choice or informed consent involves a high level of trust and excellent communication between the doctor and patient to ensure these conditions of free informed choice without coercion are met.13 However, a different ‘market’ model of choice is now prevalent in healthcare.13 Here choice involves competition, protection of the consumer from harm and a menu of almost unlimited choices.
‘Physio’s not going to repair a torn tendon’: patient decision-making related to surgery for rotator cuff related shoulder pain
Published in Disability and Rehabilitation, 2022
P. Malliaras, S. Rathi, F. Burstein, L. Watt, J. Ridgway, C. King, N. Warren
Given increasing surgical rates for RCRSP, it is important to understand patient decision-making in relation to RCRSP surgery, and whether patients are adequately informed about treatment options. Whether to engage in a surgical management process is a complex decision that involves weighing up potential benefits and harms and considering individual patient values and preferences [8]. Shared decision-making is a process by which patients are adequately informed about treatment choices to enable them to make evidence-informed decisions that are consistent with their preferences and values [9,10]. Patients who are not adequately informed about alternative non-surgical treatments or potential surgical risks (e.g., infection, osteonecrosis, re-tearing of the repair), have a compromised decision-making capacity and may make different choices [10–12]. Although shared decision making has not been extensively studies for painful musculoskeletal disorders [13], it has for other orthopaedic surgeries. Patients with a herniated disc in their back who were considering surgery were less likely to choose to have surgery when adequately informed about treatment choices [14]. Shared-decision-making is an integral component of patient-centred clinical practice, and has been associated with greater patient satisfaction and treatment outcomes [9,15].
Exploring patient choice in India: A study on hospital selection
Published in International Journal of Healthcare Management, 2021
Vishakha Chauhan, Anand Sharma, Mahim Sagar
However, patient choice has been criticised for creating a potential conflict between the physician and patient autonomy. This is where the physician is restricted to provide his opinion and expertise while presenting choices to the patient as this might take away patient’s choice autonomy. However, it has also been argued that the proper collaboration and communication between the physician and patient can create a balance between the autonomy of choice architecture for the patient and physician’s expertise in enabling the patient to decide among the various choices presented to him for his best interest [6]. Patient choice is also a critical factor in empowering the patients through improved decision making and better service delivery outcomes. Patient empowerment paradigm is also very important in any health marketing intervention in impacting overall health behaviour change and quality of life. An empowered consumer has the power to transform the available choices into action and take better decisions [7].
When a patient’s choices entail risks for others: third-party risks, relational ethics, and responsibilities of rehabilitation professionals
Published in Disability and Rehabilitation, 2021
Matthew Hunt, Stephen Clarke, Raphael Lencucha
There is a tendency to approach risk management through a technical or reductionistic decision-making process whereby the emphasis on the identified risk supersedes or crowds out questions of values, meaning, and other social considerations. Health professionals rely on clinical evaluations, as well as their own experience and professional knowledge to identify and estimate potential risks. However, differing perspectives between professionals and patients, family members, and others affected by risky behavior can inform a more responsive approach to risk management. For example, it is important for health professionals to understand the meaning that a particular choice has for their patient. In this way, cooking may be particularly meaningful for Mr B as it allows him to prepare foods that are familiar and comforting, based on family recipes and continuous with his past. Understanding what lies behind Mr B’s stated preferences is thus a key for health professionals to orient their response to the situation. Likewise, health professionals should seek to make clear the rationale behind the interventions that they propose. For example, suggesting a shut-off timer on Mr B’s stove may be perceived as a heavy-handed restriction of his autonomy but through discussion might be understood as a reasonable compromise so that Mr B can continue to cook without placing himself and others at risk.