Preferences for autonomy when patients are physicians.
OBJECTIVE
To assess physicians' preferences for patient autonomy when they are patients themselves.


METHODS
Data from practicing physicians attending a continuing medical education course were obtained by questionnaire. After adjustment for sociodemographic differences, data from the physician population were compared with similar data previously obtained from a patient population.


METHODS
One hundred fifty-one physicians (94% of the study population) agreed to participate. Ninety percent were primary care physicians. Fifty-eight percent practiced in the eastern United States.


RESULTS
The physicians, like the regular patients, preferred that the principal role in decision making for their own illnesses be handled by their providers, not by themselves. As illness severity increased, physicians indicated significantly less desire for making decisions (p less than 0.01). The magnitudes of the effects of increasing illness severity upon the decision-making preferences of physician and regular patients were comparable (p = 0.53). Physician-patients, however, were slightly more interested than regular patients in making decisions (p less than 0.001).


CONCLUSIONS
although physician-patients are slightly more interested than regular patients in making decisions, for the most part their preferences for autonomy resemble those of regular patients. These results suggest that medical knowledge and sociocultural factors are only minor determinants of patient attitudes towards autonomy. Rather, patients' preferences to be relieved of decision-making responsibility are better understood as part of the phenomenology of illness.
Ende
J
J
Evans Memorial Department of Clinical Research, Boston University School of Medicine, Massachusetts.
Kazis
L
L
Moskowitz
M A
MA
D000328:Adult; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D026684:Personal Autonomy; D010820:Physicians / Q000523:psychology*; D012720:Severity of Illness Index; D012945:Social Values