title: Patient choice for older people in english NHS primary care: theory and practice.
abstract: In the English National Health Service (NHS), patients are now expected to choose the time and place of treatment and even choose the actual treatment. However, the theory on which patient choice is based and the implementation of patient choice are controversial. There is evidence to indicate that attitudes and abilities to make choices are relatively sophisticated and not as straightforward as policy developments suggest. In addition, and surprisingly, there is little research on whether making individual choices about care is regarded as a priority by the largest NHS patient group and the single largest group for most GPs-older people. This conceptual paper examines the theory of patient choice concerning accessing and engaging with healthcare provision and reviews existing evidence on older people and patient choice in primary care.
authors: School of Health & Social Care, Bournemouth University, Bournemouth House, 19 Christchurch Road, Bournemouth, Dorset BH1 3LH, UK.
authors: Andrew J E
authors: AJ
authors: Harding
authors: Westbourne Medical Centre, Milburn Road, Bournemouth, Dorset BH4 9HJ, UK.
authors: Frances
authors: F
authors: Sanders
authors: Health Economics Group, University of Exeter Medical School, Veysey Building, Salmon Pool Lane, Exeter EX2 4SG, UK.
authors: Antonieta Medina
authors: AM
authors: Lara
authors: School of Health & Social Care, Bournemouth University, Bournemouth House, 19 Christchurch Road, Bournemouth, Dorset BH1 3LH, UK.
authors: Edwin R
authors: ER
authors: van Teijlingen
authors: School of Health & Social Care, Bournemouth University, Bournemouth House, 19 Christchurch Road, Bournemouth, Dorset BH1 3LH, UK.
authors: Cate
authors: C
authors: Wood
authors: Plymouth University, Drake Circus, Plymouth, Devon PL4 8AA, UK.
authors: Di
authors: D
authors: Galpin
authors: School of Health & Social Care, Bournemouth University, Bournemouth House, 19 Christchurch Road, Bournemouth, Dorset BH1 3LH, UK.
authors: Sue
authors: S
authors: Baron
authors: Dorset County Council, Vespasian House, Bridport Road, Dorchester DT1 1TS, UK.
authors: Sam
authors: S
authors: Crowe
authors: School of Health & Social Care, Bournemouth University, Bournemouth House, 19 Christchurch Road, Bournemouth, Dorset BH1 3LH, UK.
authors: Sheetal
authors: S
authors: Sharma