Exploring patient values in medical decision making: a qualitative study.

<h4>Background</h4>Patient decisions are influenced by their personal values. However, there is a lack of clarity and attention on the concept of patient values in the clinical context despite clear emphasis on patient values in evidence-based medicine and shared decision making. The aim...

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Autores principales:	Yew Kong Lee, Wah Yun Low, Chirk Jenn Ng
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f6cd5eabfdd8478b918ef97f2190f051
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spelling	oai:doaj.org-article:f6cd5eabfdd8478b918ef97f2190f0512021-11-18T08:44:55ZExploring patient values in medical decision making: a qualitative study.1932-620310.1371/journal.pone.0080051https://doaj.org/article/f6cd5eabfdd8478b918ef97f2190f0512013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24282518/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Patient decisions are influenced by their personal values. However, there is a lack of clarity and attention on the concept of patient values in the clinical context despite clear emphasis on patient values in evidence-based medicine and shared decision making. The aim of the study was to explore the concept of patient values in the context of making decisions about insulin initiation among people with type 2 diabetes.<h4>Methods and findings</h4>We conducted individual in-depth interviews with people with type 2 diabetes who were making decisions about insulin treatment. Participants were selected purposively to achieve maximum variation. A semi-structured topic guide was used to guide the interviews which were audio-recorded and analysed using a thematic approach. We interviewed 21 participants between January 2011 and March 2012. The age range of participants was 28-67 years old. Our sample comprised 9 women and 12 men. Three main themes, 'treatment-specific values', 'life goals and philosophies', and 'personal and social background', emerged from the analysis. The patients reported a variety of insulin-specific values, which were negative and/or positive beliefs about insulin. They framed insulin according to their priorities and philosophies in life. Patients' decisions were influenced by sociocultural (e.g. religious background) and personal backgrounds (e.g. family situations).<h4>Conclusions</h4>This study highlighted the need for expanding the current concept of patient values in medical decision making. Clinicians should address more than just values related to treatment options. Patient values should include patients' priorities, life philosophy and their background. Current decision support tools, such as patient decision aids, should consider these new dimensions when clarifying patient values.Yew Kong LeeWah Yun LowChirk Jenn NgPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 11, p e80051 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yew Kong Lee Wah Yun Low Chirk Jenn Ng Exploring patient values in medical decision making: a qualitative study.
description	<h4>Background</h4>Patient decisions are influenced by their personal values. However, there is a lack of clarity and attention on the concept of patient values in the clinical context despite clear emphasis on patient values in evidence-based medicine and shared decision making. The aim of the study was to explore the concept of patient values in the context of making decisions about insulin initiation among people with type 2 diabetes.<h4>Methods and findings</h4>We conducted individual in-depth interviews with people with type 2 diabetes who were making decisions about insulin treatment. Participants were selected purposively to achieve maximum variation. A semi-structured topic guide was used to guide the interviews which were audio-recorded and analysed using a thematic approach. We interviewed 21 participants between January 2011 and March 2012. The age range of participants was 28-67 years old. Our sample comprised 9 women and 12 men. Three main themes, 'treatment-specific values', 'life goals and philosophies', and 'personal and social background', emerged from the analysis. The patients reported a variety of insulin-specific values, which were negative and/or positive beliefs about insulin. They framed insulin according to their priorities and philosophies in life. Patients' decisions were influenced by sociocultural (e.g. religious background) and personal backgrounds (e.g. family situations).<h4>Conclusions</h4>This study highlighted the need for expanding the current concept of patient values in medical decision making. Clinicians should address more than just values related to treatment options. Patient values should include patients' priorities, life philosophy and their background. Current decision support tools, such as patient decision aids, should consider these new dimensions when clarifying patient values.
format	article
author	Yew Kong Lee Wah Yun Low Chirk Jenn Ng
author_facet	Yew Kong Lee Wah Yun Low Chirk Jenn Ng
author_sort	Yew Kong Lee
title	Exploring patient values in medical decision making: a qualitative study.
title_short	Exploring patient values in medical decision making: a qualitative study.
title_full	Exploring patient values in medical decision making: a qualitative study.
title_fullStr	Exploring patient values in medical decision making: a qualitative study.
title_full_unstemmed	Exploring patient values in medical decision making: a qualitative study.
title_sort	exploring patient values in medical decision making: a qualitative study.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/f6cd5eabfdd8478b918ef97f2190f051
work_keys_str_mv	AT yewkonglee exploringpatientvaluesinmedicaldecisionmakingaqualitativestudy AT wahyunlow exploringpatientvaluesinmedicaldecisionmakingaqualitativestudy AT chirkjennng exploringpatientvaluesinmedicaldecisionmakingaqualitativestudy
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Exploring patient values in medical decision making: a qualitative study.

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