Information and shared decision-making are top patients' priorities.
BACKGROUND
The profound changes in medical care and the recent stress on a patient-centered approach mandate evaluation of current patient priorities.


METHODS
Hospitalized and ambulatory patients at an academic medical center in central Israel were investigated. Consecutive patients (n = 274) indicated their first and second priority for a change or improvement in their medical care out of a mixed shortlist of 6 issues, 3 related to patient-physician relationship (being better informed and taking part in decisions; being seen by the same doctor each time; a longer consultation time) and 3 issues related to the organizational aspect of care (easier access to specialists/hospital; shorter queue for tests; less charges for drugs).


RESULTS
Getting more information from the physician and taking part in decisions was the most desirable patient choice, selected by 27.4% as their first priority. The next choices - access and queue - also relate to more patient autonomy and control over that of managed care regulations. Patients studied were least interested in continuity of care, consultation time or cost of drugs. Demographic or clinical variables were not significantly related to patients' choices.


CONCLUSIONS
Beyond its many benefits, being informed by their doctor and shared decision making is a top patient priority.
Schattner
Ami
A
Department of Medicine, Addenbrooke's Hospital, School of Clinical Medicine, Cambridge University, UK. as655@medschl.cam.ac.uk
Bronstein
Alexander
A
Jellin
Navah
N
D000046:Academic Medical Centers; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence; D003657:Decision Making; D005260:Female; D006292:Health Priorities; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D007557:Israel; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010358:Patient Participation; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000592:standards*; D010817:Physician-Patient Relations; D036301:Qualitative Research; D012017:Referral and Consultation