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Preference Of Patients


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Preference Of Patients

  2. 2. PREFERENCE OF PATIENTS <ul><li>Patient preference means the choices that persons make when they are faced with decisions about health and medical treatment. </li></ul>
  3. 3. <ul><li>Choices made by patients based on:- </li></ul><ul><li>- Information provided by a physician </li></ul><ul><li>- patients’ own experience, beliefs and </li></ul><ul><li> values. </li></ul>
  4. 4. <ul><li>When there are medical indication for treatment, a physician should propose a treatment plan that a patient may accept of refuse. </li></ul>
  5. 5. <ul><li>An informed, competent patients preference to accept or refuse medically indicated treatment has clinical, ethical, legal and psychological importance </li></ul>
  6. 6. <ul><li>Patient preferences are the ethical and legal nucleus of a patient-physician relationship. </li></ul>
  7. 7. CLINICAL SIGNIFICANCE OF PATIENT PREFERENCE <ul><li>Patient preference are essential to good clinical care because patients’ cooperation and satisfaction reflect the degree to which medical intervention fulfills the patients’ choices, values and needs. </li></ul>
  8. 8. <ul><li>Patients who collaborates with their physicians to reach a shared health care decision have greater trust in the doctor-patient relationship..(cont.) </li></ul>
  9. 9. <ul><li>.. (Cont.) </li></ul><ul><li>cooperate more fully to implement the shared decision, and express greater satisfaction with their health care. </li></ul>
  10. 10. <ul><li>Research has shown that patients with chronic diseases enjoy better health outcomes when they ask questions, express opinions, and make their preferences known..(cont.) </li></ul>
  11. 11. <ul><li>.. (cont.) </li></ul><ul><li>when their physicians have a ‘participatory’ rather than a ‘controlling’ decision making style. </li></ul>
  12. 12. <ul><li>A participatory style is associated with primary care training, skill in interviewing that facilitates emphatic listening and communication, and the opportunity to take time with patients. </li></ul>
  13. 13. <ul><li>This approach is referred to as ‘patient-centered medicine’. </li></ul>
  14. 14. <ul><li>Documentation of the patients’ informed consent also serves as a defense for the physician against a claim that their patient was coerced. </li></ul>
  15. 15. <ul><li>Apart from clinical skill and carefulness, a respect for patient preferences, good communication and a participatory style of dealing with patients appear to be the most effective protection that physicians have against malpractice lawsuits. </li></ul>
  16. 16. PSYCHOLOGICAL SIGNIFICANCE OF PATIENT PREFERENCE : CONTROL <ul><li>Patient preference are psychologically significant because the ability to express preferences and have others respect them is crucial to a sense of personal worth. </li></ul>
  17. 17. <ul><li>When patient preference are ignored or devalued, patients are likely to distrust and perhaps disregard physician's recommendation </li></ul>
  18. 18. <ul><li>When patients are overtly or covertly uncooperative, the effectiveness of the therapy is threatened. </li></ul><ul><li>Patient preference are important because their expression may lead to informed consent </li></ul>
  19. 19. ETHICAL SIGNIFICANCE OF PATIENT PREFERENCE <ul><li>AUTONOMY </li></ul><ul><li>Patient preference are ethically significant because they manifest the value of personal autonomy </li></ul>
  20. 20. <ul><li>The recognition of patient preference respects the value of personal autonomy in medical care. </li></ul>
  21. 21. LEGAL SIGNIFICANCE OF PATIENT PREFERENCE <ul><li>Patient preference are legally significant because the law recognizes that all persons have a a fundamental right to control their own body, and the right to be protected from unwanted intrusions or ‘ unconsented touchings’ </li></ul>
  22. 22. <ul><li>The legal requirement of explicit consent before specific treatment protects the legal right of patients to control what is done to their own bodies. </li></ul>
  23. 23. <ul><li>To the discovery of other factors, such as fears, fantasies, or unusual beliefs, that the physician should consider in dealing with the patients. </li></ul>