Women's preferences for and views on decision-making for diagnostic tests

Women's preferences for and views on decision-making for diagnostic tests
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DOI:
10.1016/s0277-9536(03)00339-3
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发表时间:
2004-05-01
影响因子:
5.4
通讯作者:
Redman, S
Redman, S
中科院分区:
医学2区
文献类型:
--
作者:
Davey, HM;Lim, J;Redman, S

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目前还不清楚控制偏好量表(CPS)是否提供了一个合适的框架,以引出妇女的偏好参与决策有关的诊断测试。本研究的目的是评估角色标签方法是否适合于引起对诊断测试决策的偏好,并引起妇女对诊断测试决策的偏好和看法。深入,面对面,半结构化的采访进行了37名妇女谁曾参加过人口为基础的电话调查。访谈记录的分析表明,定性问题可能是一个更敏感的方法来引出偏好比角色标签的方法,如CPS的例子。分析确定了一些与诊断测试决策相关的问题,包括定义什么是决策,偏好的理由以及影响首选角色的因素,如测试的感知严重性和潜在结果。用于了解参与决策偏好的角色标签方法可能过于简单化。它可能无法完全捕捉到女性对考试决策的复杂想法,包括她们如何定义一个决定以及哪些因素影响她们的偏好。(C)2003 Elsevier Ltd.保留所有权利。
It is unclear whether the Control Preferences Scale (CPS) provides a suitable framework for eliciting women's preferences for involvement in decision-making about diagnostic tests. The aims of this study were to assess the appropriateness of the role label approach for eliciting preferences for decision-making about diagnostic tests and to elicit women's preferences for, and views about, decision-making for diagnostic tests. In-depth, face-to-face, semi-structured interviews were conducted with 37 women who had previously participated in a population-based telephone survey. Analysis of the interview transcripts revealed that qualitative questions may be a more sensitive methodology for eliciting preferences than the role label approach as exemplified by the CPS. The analysis identified a number of issues associated with decision-making for diagnostic tests, including defining what a decision is, the rationale for the preference and factors that influence the preferred role such as the perceived seriousness of the test and potential outcomes. The role label approach used to elicit preferences for involvement in decision-making may be too simplistic. It may not fully capture the complexity of women's thoughts about test decision-making, including how they define a decision and what factors affect their preference. (C) 2003 Elsevier Ltd. All rights reserved.