title: Models, phases and cases of patient participation in decision-making in surgical treatment in Norway: a qualitative study.
abstract: This study improves our understanding of patients' participation in hospital treatment-decision processes. We explored the degree of patient participation perceived by both patients and healthcare professionals in four phases of the decision process: information dissemination, formulation of options, integration of information, and control within four models of interactions between healthcare professionals and patients: the paternalistic model, the shared model, the informed model, and the non-paternalistic model. The analysis was based on 18 in-depth, exploratory interviews with patients and healthcare professionals in six surgical units in Norway. Knowledge about how patients and healthcare professionals interact in the surgical-decision process is important for developing systems and arenas for patient participation in practice, and for a climate and culture to further support the implementation.
authors.affiliation: Department of Surgery, Stavanger University Hospital, Stavanger, Norway. liv-helen.heggland@sus.no
authors.forename: Liv-Helen
authors.initials: LH
authors.lastname: Heggland
authors.forename: Aslaug
authors.initials: A
authors.lastname: Mikkelsen
authors.forename: Kjell
authors.initials: K
authors.lastname: Hausken
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003299:Cooperative Behavior; D003657:Decision Making; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D009369:Neoplasms / Q000601:surgery*; D009664:Norway; D010358:Patient Participation; D010817:Physician-Patient Relations; D036301:Qualitative Research