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dc.contributor.authorTakahashi Miyako
dc.contributor.authorWatanabe Yoshiko
dc.contributor.authorKai Ichiro
dc.date.accessioned2022-09-09T21:44:36Z
dc.date.available2022-09-09T21:44:36Z
dc.date.created2022-09-01 23:32
dc.date.issued2008-02-01
dc.identifieroai:doaj.org/article:f8271eda455f49ca81f88af8a0c89eb6
dc.identifier10.1186/1471-2458-8-77
dc.identifier1471-2458
dc.identifierhttps://doaj.org/article/f8271eda455f49ca81f88af8a0c89eb6
dc.identifier.urihttp://hdl.handle.net/20.500.12424/4200664
dc.description.abstract<p>Abstract</p> <p>Background</p> <p>Over the last decade, patient involvement in treatment-related decision-making has been widely advocated in Japan, where patient-physician encounters are still under the influence of the long-standing tradition of paternalism. Despite this profound change in clinical practice, studies investigating the actual preferences of Japanese people regarding involvement in treatment-related decision-making are limited. The main objectives of this study were to (1) reveal the actual level of involvement of Japanese cancer patients in the treatment-related decision-making and their overall satisfaction with the decision-making process, and (2) consider the practical implications of increased satisfaction in cancer patients with regard to the decision-making process.</p> <p>Methods</p> <p>We conducted semi-structured interviews with 24 Japanese cancer patients who were recruited from a cancer self-help group in Tokyo. The interviews were qualitatively analysed using the approach described by Lofland and Lofland.</p> <p>Results</p> <p>The analyses of the patients' interviews focused on 2 aspects: (1) who made treatment-related decisions (the physician or the patient), and (2) the informants' overall satisfaction with the decision-making process. The analyses revealed the following 5 categories of decision-making: 'patient as the active decision maker', 'doctor selection', 'wilfully entrusting the physician', 'compelled decision-making', and 'surrendering decision-making'. While the informants under the first 3 categories were fairly satisfied with the decision-making process, those under the latter 2 were extremely dissatisfied. Informants' views regarding their preferred role in the decision-making process varied substantially from complete physician control to complete patient control; the key factor for their satisfaction was the relation between their preferred involvement in decision-making and their actual level of involvement, irrespective of who the decision maker was.</p> <p>Conclusion</p> <p>In order to increase patient satisfaction with regard to the treatment-related decision-making process, healthcare professionals in Japan must assess individual patient preferences and provide healthcare accordingly. Moreover, a better environment should be created in hospitals and in society to facilitate patients in expressing their preferences and appropriate resources need to be made available to facilitate their decision-making process.</p>
dc.languageEN
dc.publisherBMC
dc.relation.ispartofhttp://www.biomedcentral.com/1471-2458/8/77
dc.relation.ispartofhttps://doaj.org/toc/1471-2458
dc.sourceBMC Public Health, Vol 8, Iss 1, p 77 (2008)
dc.subjectPublic aspects of medicine
dc.subjectRA1-1270
dc.titleJapanese cancer patient participation in and satisfaction with treatment-related decision-making: A qualitative study
dc.typeArticle
ge.collectioncode1471-2458
ge.dataimportlabelOAI metadata object
ge.identifier.legacyglobethics:18590714
ge.lastmodificationdate2022-09-01 23:32
ge.lastmodificationuseradmin@novalogix.ch (import)
ge.submissions0
ge.oai.exportid155014
ge.oai.repositoryid52
ge.oai.setnameLCC:Public aspects of medicine
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ge.linkhttps://doaj.org/article/f8271eda455f49ca81f88af8a0c89eb6


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