title: [Patient opinion and perception of their participation in family medicine consultation decision making].
abstract: OBJECTIVE
  To find out the views of the patient on their participation in decision making (DM) when visiting their family physician.
  
  
  METHODS
  A cross-sectional, qualitative and quantitative study.
  
  
  METHODS
  Patients attending their family doctors in diverse geographical Health Centres.
  
  
  METHODS
  Personal interviewing using different kinds of questions (close-ended, close-ended with options and open-ended questions).
  
  
  RESULTS
  Patients participation: 658 (52 ± 17.4 years, 62% females, consulting with 97 doctors (from urban centres: 36 (458); rural centres: 22 (200). Most patients (94%; 620) declared to be satisfied with DM and up to 41% (266) thought that DM should be taken only by the doctor. Nevertheless, after the consultation 60% of patients (360) confirmed that they would have liked the physician to have asked them for their opinion, but the doctor did not encourage them to do this. Furthermore, patients considered information, discussion about options, ways to make decisions, medical advice, active listening and empathy as key aspects to encourage them to participate.
  
  
  CONCLUSIONS
  After a medical consultation, most patients wanted to give their opinion about the proposals of treatment. Nevertheless, they felt that their doctors offered them these opportunities on very few occasions. Some types of questions are better than others in detecting of these kinds of needs, and are more useful to design strategies for involving patients in the DM process.
authors.affiliation: Medicina de Familia, Unidad Docente Provincial de Medicina de Familia de Córdoba, Servicio Andaluz de Salud, Córdoba, España. roger.ruiz.sspa@juntadeandalucia.es
authors.forename: Roger
authors.initials: R
authors.lastname: Ruiz Moral
authors.forename: Lucía
authors.initials: L
authors.lastname: Peralta Munguia
authors.forename: Luis Ángel
authors.initials: LÁ
authors.lastname: Pérula de Torres
authors.forename: Jorge
authors.initials: J
authors.lastname: Olloqui Mundet
authors.forename: Teresa
authors.initials: T
authors.lastname: Carrión de la Fuente
authors.forename: Ana
authors.initials: A
authors.lastname: Sobrino López
authors.forename: Mercedes
authors.initials: M
authors.lastname: Losilla Domínguez
authors.forename: Mariana
authors.initials: M
authors.lastname: Martínez Lechuga
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D003657:Decision Making; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D011795:Surveys and Questionnaires; D055815:Young Adult