What role do patients prefer in medical decision-making?: a population-based nationwide cross-sectional study.

Abstract

To assess patients' preferred roles in healthcare-related decision-making in a representative sample of the Portuguese population. Population-based nationwide cross-sectional study. A sample of Portuguese people 20 years or older were interviewed face-to-face using a questionnaire with the Problem-Solving Decision-Making scale. The primary outcome was patients' preferred role for each vignette of the problem-solving decision-making scale. Sociodemographic factors associated with the preferred roles were the secondary outcomes. 599 participants (20-99 years, 53.8% women) were interviewed. Three vignettes of the Problem-Solving Decision-Making scale were compared: <i>morbidity</i>, <i>mortality</i> and <i>quality of life</i>. Most patients preferred a passive role for both the problem-solving and decision-making components of the scale, particularly for the <i>mortality vignette</i> (66.1% in the analysis of the three vignettes), although comparatively more opted to share decision in the decision-making component. For the <i>quality of life vignette</i>, a higher percentage of patients wanted a shared role (44.3%) than with the other two vignettes. In the problem-solving component, preferences were significantly associated with area of residence (p<0.001) and educational level (p=0.013), while in the decision-making, component preferences were associated with age (p=0.020), educational level (p=0.015) and profession (p<0.001). In this representative sample of the Portuguese mainland population, most patients preferred a practitioner-controlling role for both the problem-solving and decision-making components. In a life-threatening situation, patients were more willing to let the doctor decide. In contrast, in a less serious situation, there is a greater willingness to participate in decision-making. We have found that shared decision-making is more acceptable to better-educated patients in the problem-solving component and to people who are younger, higher educated and employed, in the decision-making component.