Preferences for decision-making about contraception and general health care among reproductive age women at an abortion clinic
Preferences for decision-making about contraception and general health care among reproductive age women at an abortion clinic
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DOI：
10.1016/j.pec.2010.06.021
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发表时间：
2010-12-01
影响因子：
3.5
通讯作者：
Steinauer, Jody
中科院分区：
文献类型：
--
作者：
Dehlendorf, Christine;Diedrich, Justin;Steinauer, Jody
目的：研究表明，并非所有患者都希望共同决策，并且对避孕决策知之甚少。本研究比较了育龄妇女避孕决策偏好与一般健康偏好的差异。方法：对257名在某城市医院接受人工流产护理的妇女进行了问卷调查，其中包括从问题解决决策量表中改编的关于她们对医疗决策偏好的问题。与一般医疗保健相比，女性更希望自主决定避孕措施（50% vs. 19%，p < .001）。没有患者特征与避孕决策偏好相关。与医疗保险的妇女更有可能希望自主决策避孕比一般的医疗保健（51%比17%，p < .001）。结论：妇女希望更多的自主权，在他们的避孕决定比在他们的决定一般healthcare.Practice implications：卫生保健提供者应注意的存在的变化，在决策的偏好，在整个健康域。避孕药具提供者应积极评估决策偏好，以确保为每个人提供最适当的咨询。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Objective: Studies suggest that not all patients desire shared decision making, and little is known about decision making around contraception. This study compared decision-making preferences for contraception to preferences for general health among reproductive-aged women.Methods: 257 women receiving abortion care in an urban hospital completed a survey which included questions adapted from the Problem-Solving Decision-Making Scale about their preferences for medical decision making.Results: Women were significantly more likely to desire autonomous decision making about contraception than about their general health care (50% vs. 19%, p < .001). No patient characteristics were associated with contraceptive decision-making preferences. Women with Medicaid insurance were more likely to desire autonomous decision making about contraception than about general health care (51% vs. 17%, p < .001).Conclusion: Women desire more autonomy in their contraceptive decisions than in their decisions about general health care.Practice implications: Health care providers should be attentive to the existence of variation in preferences in decision making across health domains. Contraceptive providers should proactively assess decisional preferences to ensure the most appropriate counseling is provided to each individual. (C) 2010 Elsevier Ireland Ltd. All rights reserved.