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Title: Lay constructions of decision-making in cancer
Contributor(s): Henman, M J (author); Butow, P N (author); Brown, Rhonda  (author); Boyle, F (author); Tattersall, M H N (author)
Publication Date: 2002
DOI: 10.1002/pon.566
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Abstract: In recent years there has been increased emphasis on involving people in decision-making about their medical care. However, few studies have addressed the questions of why women with cancer want information, and what they believe to be the important factors influencing their decision-making. In order to examine these questions 20 women with cancer were interviewed via telephone 2 weeks after their first consultation with one of 6 medical oncologists. Recruitment continued until informational redundancy was achieved. While women cited the risk of recurrence, life expectancy, side-effects, and quality of life as influencing their decisions, they placed at least as much emphasis on their personal relationship with the specialist. These personal factors included: feeling that the doctor cared for, understood and respected them; that they could trust and have confidence in the doctor; that the doctor would give them enough time; that they would be listened to; and that the doctor would be open and honest. If these factors were felt to be present, many women were happy to accept the doctor's recommendation, confident that they would receive the optimum treatment. However, many women felt there was no decision to be made: further treatment must be undertaken to reduce risk, and minor variations in the treatment protocol were of little significance. These results underline the importance of establishing patient priorities and concerns before embarking on discussions about treatment.
Publication Type: Journal Article
Source of Publication: Psycho-Oncology, 11(4), p. 295-306
Publisher: Wiley-Blackwell Publishing
Place of Publication: London, UK
ISSN: 1099-1611
Field of Research (FOR): 170106 Health, Clinical and Counselling Psychology
Socio-Economic Outcome Codes: 920102 Cancer and Related Disorders
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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