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Participation in medical decision-making across Europe: an international longitudinal multicenter study

التفاصيل البيبلوغرافية
العنوان: Participation in medical decision-making across Europe: an international longitudinal multicenter study
المؤلفون: Bar Deucher A., Hengartner M. P., Kawohl W., Konrad J., Puschner B., Clarke E., Slade M., Del Vecchio V., Sampogna G., Egerhazi A., Suveges A., Krogsgaard Bording M., Munk-Jorgensen P., Rossler W., Becker T., Arnold K., Ay E., Loos S., Neumann P., Zentner N., Jordan H., Maj M., Fiorillo A., Vecchio V. D., Rosa C. D., Giacco D., Luciano M., Gaudio L. D., Cozzolino P., Del Vecchio H. G., Salzano A., Ivanka T., Nagy M., Berencz R., Glaub T., Kovacs A., Magyar E., Bording M. K., Ostermark Sorensen H., Larsen J. -I., Bar A., Kromer S., Mutschler J., Obermann C.
المساهمون: Bar Deucher, A., Hengartner, M. P., Kawohl, W., Konrad, J., Puschner, B., Clarke, E., Slade, M., Del Vecchio, V., Sampogna, G., Egerhazi, A., Suveges, A., Krogsgaard Bording, M., Munk-Jorgensen, P., Rossler, W., Becker, T., Arnold, K., Ay, E., Loos, S., Neumann, P., Zentner, N., Jordan, H., Maj, M., Fiorillo, A., Vecchio, V. D., Rosa, C. D., Giacco, D., Luciano, M., Gaudio, L. D., Cozzolino, P., Del Vecchio, H. G., Salzano, A., Ivanka, T., Nagy, M., Berencz, R., Glaub, T., Kovacs, A., Magyar, E., Bording, M. K., Ostermark Sorensen, H., Larsen, J. -I., Bar, A., Kromer, S., Mutschler, J., Obermann, C.
المصدر: The CEDAR study group 2016, ' Participation in medical decision-making across Europe : An international longitudinal multicenter study ', European Psychiatry, vol. 35, no. May, pp. 39-46 . https://doi.org/10.1016/j.eurpsy.2016.02.001
Bär Deucher, A, Hengartner, M P, Kawohl, W, Konrad, J, Puschner, B, Clarke, E, Slade, M, Del Vecchio, V, Sampogna, G, Égerházi, A, Süveges, Á, Bording, M F K, Munk-Jørgensen, P, Rössler, W & CEDAR study group 2016, ' Participation in medical decision-making across Europe : An international longitudinal multicenter study ', European Psychiatry, vol. 35, pp. 39-46 . https://doi.org/10.1016/j.eurpsy.2016.02.001
بيانات النشر: Elsevier, 2016.
سنة النشر: 2016
مصطلحات موضوعية: Gerontology, Male, Decision Making, Longitudinal Studie, 616.89: Psychische Störungen, klinische Psychologie und Psychiatrie, Severity of Illness Index, 03 medical and health sciences, 0302 clinical medicine, Patient satisfaction, Severity of illness, Severe mental illness, medicine, Humans, 030212 general & internal medicine, Longitudinal Studies, Patient participation, Generalized estimating equation, Quality Indicators, Health Care, Physician-Patient Relations, Physician-Patient Relation, Mental Disorders, Medical decision making, Middle Aged, Mental illness, medicine.disease, Multicenter study, 030227 psychiatry, Europe, Psychiatry and Mental health, Patient Satisfaction, Mental Disorder, Observational study, Female, Psychology, Severe mental illne, Clinical decision-making, Human
الوصف: BackgroundThe purpose of this paper was to examine national differences in the desire to participate in decision-making of people with severe mental illness in six European countries.MethodsThe data was taken from a European longitudinal observational study (CEDAR; ISRCTN75841675). A sample of 514 patients with severe mental illness from the study centers in Ulm, Germany, London, England, Naples, Italy, Debrecen, Hungary, Aalborg, Denmark and Zurich, Switzerland were assessed as to desire to participate in medical decision-making. Associations between desire for participation in decision-making and center location were analyzed with generalized estimating equations.ResultsWe found large cross-national differences in patients’ desire to participate in decision-making, with the center explaining 47.2% of total variance in the desire for participation (P < 0.001). Averaged over time and independent of patient characteristics, London (mean = 2.27), Ulm (mean = 2.13) and Zurich (mean = 2.14) showed significantly higher scores in desire for participation, followed by Aalborg (mean = 1.97), where scores were in turn significantly higher than in Debrecen (mean = 1.56). The lowest scores were reported in Naples (mean = 1.14). Over time, the desire for participation in decision-making increased significantly in Zurich (b = 0.23) and decreased in Naples (b = −0.14). In all other centers, values remained stable.ConclusionsThis study demonstrates that patients’ desire for participation in decision-making varies by location. We suggest that more research attention be focused on identifying specific cultural and social factors in each country to further explain observed differences across Europe.
وصف الملف: application/pdf
اللغة: English
تدمد: 0924-9338
1778-3585
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a1b7a7af32d2405de40dba8635af4d51
http://eprints.nottingham.ac.uk/31904/
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....a1b7a7af32d2405de40dba8635af4d51
قاعدة البيانات: OpenAIRE
الوصف
تدمد:09249338
17783585