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PJ Online homeThe Pharmaceutical Journal
Vol 276 No 7398 p496
29 April 2006

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Patients overseas get greater say in treatment decisions

UK doctors are less likely to involve patients in choices about treatment than their international counterparts, a study has found (PDF 750K).

Nearly 7,000 patients in Australia, Canada, Germany, New Zealand, the UK and the US were asked about their experiences of health care by the Picker Institute, a charity that promotes understanding of patients’ perspectives of health care. Only 43 per cent of UK respondents said that their regular doctor involved them in treatment choices — less than in any of the other countries, in which between 48 and 59 per cent of patients said their doctor did so.

In addition, only 66 per cent of UK respondents said their regular doctor gave them clear goals and a treatment plan, compared with 70–80 per cent in other countries, and UK respondents were less likely to say their regular doctor gave them clear instructions on symptoms to watch out for or on self-care on leaving hospital.

A major change is needed in the way health professionals work with patients in the UK, the authors say.

“In particular, doctors, nurses and other health professionals need training to promote health literacy, support self-care and self-management and involve patients in treatment decisions, and their effectiveness in this regard should be monitored in regular patient surveys,” they argue. “Patient engagement is a key component of the strategy to keep future health care spending within manageable limits,” they add.

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