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Qual Health Care 10:i2-i8 doi:10.1136/qhc.0100002..
  • Introductory paper

Measuring patients' preferences for treatment and perceptions of risk

  1. A Bowling, professor of health services research1,
  2. S Ebrahim, professor of epidemiology of old age2
  1. 1Department of Primary Care and Population Sciences, Royal Free and University College Medical School, Royal Free Campus, London NW3 2PF, UK
  2. 2MRC Health Services Research Collaboration, Department of Social Medicine, University of Bristol, Bristol BS8 2PR, UK
  1. Professor A Bowling A.Bowling{at}btinternet.com

    A greater understanding of patients' preferences for mode of treatment is central to current models of shared patient-doctor decision making. It is also of potential importance in enhancing patient adherence to treatment and, in turn, patients' health outcomes. Health services, with their emphases on patient involvement and satisfaction, audit and clinical governance, increasingly aim to be responsive to patients' concerns and ultimately to enhance the quality of health care. Hence there is a need for awareness of patients' preferences for treatment, and to develop appropriate, valid and reliable methods of eliciting these.Quality in Health Care 2001;10(Suppl I):i2–i8

    The papers published in this supplement represent the output of an MRC Health Services Research Collaboration (HSRC) workshop, together with invited papers from other researchers in the area of patients' preferences for treatment. The MRC HSRC has a special interest in the individualisation of health care and in methodological development; it is in the interface between patient preferences and evidence of benefit derived from groups that individualisation of care may be achieved. The aim of the workshop was to bring together an interdisciplinary group of UK experts to discuss the concept and measurement of patients' preferences for treatment and directions for future research. The complexity and possible directions for research are summarised in fig 1.

    Figure 1

    Proposed areas of research on patients' preferences.

    The supplement covers patients' understandings of treatment risks, patients' inclusion in decision making about treatment, differences in treatment preferences between doctors, and between doctors and patients, as well as methodological and ethical issues. It indicates the need for interdisciplinary collaboration on this topic. The literature on preferences spans a wide range of disciplines and journals including medicine, epidemiology, ethics, psychology, sociology, economics and policy areas from transport and environmental planning to agriculture. The knowledge base in this area of work is …

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