title: [Patient participation in medical decision making among breast cancer patients--a comparison of breast centre care units and non-centre hospitals].
abstract: This study investigated the extent of involvement of breast cancer patients in medical decisions in comparison between certified breast cancer centres vs. non-centres. Data on the participation in medical decision making were collected in a retrospective cross-sectional design from 652 breast cancer patients. 9 different dimensions of participation were analysed. In the descriptive analysis, there is only one significant difference in participation between breast centres and non-centres (dimension: time of treatment). In multivariate analysis, the treatment in a breast cancer centre was a predictor for increased patient participation in 3 dimensions of participation in medical decisions (p <0.05). In particular, younger age and good health are of statistical significance for participation in medical decision making. There is a higher participation of patients in breast centres in only few subdimensions of medical decision making, but not in general.
authors.affiliation: Abteilung für Medizinische Psychologie und Medizinische Soziologie. jochen.ernst@medizin.uni-leipzig.de
authors.forename: Jochen
authors.initials: J
authors.lastname: Ernst
authors.forename: Gregor
authors.initials: G
authors.lastname: Weissflog
authors.forename: Sylvia
authors.initials: S
authors.lastname: Hohlfeld
authors.forename: Christian
authors.initials: C
authors.lastname: Wittekind
authors.forename: Elmar
authors.initials: E
authors.lastname: Brähler
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology / Q000628:therapy*; D002173:Cancer Care Facilities; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006761:Hospitals; D006801:Humans; D008875:Middle Aged; D010358:Patient Participation / Q000523:psychology*; D012044:Regression Analysis; D012189:Retrospective Studies; D012959:Socioeconomic Factors