Can psychiatrists and neurologists predict their patients' participation preferences?
There is evidence that an optimal match of patients' participation preferences improves health outcomes. Since it is unknown whether psychiatrists and neurologists can predict their patients' participation preferences we performed a cross-sectional survey involving N = 101 inpatients with schizophrenia/schizoaffective disorder and N = 102 inpatients with multiple sclerosis. Both patients and their physicians in charge were surveyed with respect to the patients' participation preferences, using the Autonomy Preference Index and a global estimate. Most patients wished to participate in medical decision making. Doctors performed poorly when predicting their individual patients' participation preferences and tended to overestimate their patients' participation preferences. A longer duration of the hospital stay did not improve the accuracy of doctors' estimates. Thus, neurologists and psychiatrists fail at predicting their patients' participation preferences accurately, which might challenge patients' treatment satisfaction. More attention in the consultation should be paid to patients' preferences.
Hamann
Johannes
J
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Technische Universität München, München, Germany. j.hamann@lrz.tum.de
Mendel
Rosmarie
R
Schebitz
Matthias
M
Reiter
Sarah
S
Bühner
Markus
M
Cohen
Rudolf
R
Berthele
Achim
A
Kissling
Werner
W
D000328:Adult; D002755:Choice Behavior; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000523:psychology* / Q000628:therapy*; D009462:Neurology; D010358:Patient Participation / Q000523:psychology*; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011570:Psychiatry; D011618:Psychotic Disorders / Q000523:psychology* / Q000628:therapy*; D012017:Referral and Consultation; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology; D055815:Young Adult