The myth of agency and patient choice in health care? The case of drug treatments to prevent coronary disease
Patient choice is at the heart of health-care reform programmes in the UK and in many other countries. The success of patient choice initiatives is dependent on a well-functioning agency relationship in health care. We interviewed 197 patients from 13 general practices in the West Midlands, UK, both...
Gespeichert in:
| Veröffentlicht in: | Social science & medicine (1982) 2006-11, Vol.63 (10), p.2698-2701 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2701 |
|---|---|
| container_issue | 10 |
| container_start_page | 2698 |
| container_title | Social science & medicine (1982) |
| container_volume | 63 |
| creator | Bryan, Stirling Gill, Paramjit Greenfield, Sheila Gutridge, Kerry Marshall, Tom |
| description | Patient choice is at the heart of health-care reform programmes in the UK and in many other countries. The success of patient choice initiatives is dependent on a well-functioning agency relationship in health care. We interviewed 197 patients from 13 general practices in the West Midlands, UK, both before and after coronary screening. Our study suggests that, for patients presenting for coronary risk screening in primary care, the agency relationship is not working well—patients’ expressed preferences relating to decisions to commence drug treatments were largely over-ridden in the clinical consultation. Therefore, if choice is to be a real driver of change in health care it needs to encompass patient empowerment and be based on a more collaborative approach to decision making between patients and professionals. |
| doi_str_mv | 10.1016/j.socscimed.2006.07.008 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68936911</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0277953606003546</els_id><sourcerecordid>57167674</sourcerecordid><originalsourceid>FETCH-LOGICAL-c669t-f2c0c7e8ded778ad67a8df1c15c7eb3eca5b044081658f007846fa9ae50d31f43</originalsourceid><addsrcrecordid>eNqNkl2L1DAUhoso7rj6FzQIetd60jQfvZJl8QtWvFmvQyY53ckwbWrSDsy_33RnGMGb8SIJhOc5vAlvUbyjUFGg4tO2SsEm63t0VQ0gKpAVgHpWrKiSrOSskc-LFdRSli1n4qp4ldIWACgo9rK4oqKtoW7qVdHfb5D0h2lDQkfMAw72QMzgyGgmj8NE7CZ4i8QPZINmlzFrIn4mi2VNwsVycX4gU0Qz9dlIZApkjLh_skMMg4kH4nzCjL8uXnRml_DN6bwufn_9cn_7vbz79e3H7c1daYVop7KrLViJyqGTUhknpFGuo5byfLtmaA1fQ9OAooKrDkCqRnSmNcjBMdo17Lr4eJw7xvBnxjTp3ieLu50ZMMxJC9Uy0VJ6GaQClBD8P0DW5hziIsglFVLIyxmZ4LSBmmXw_T_gNsxxyP-nawaNahu6QPII2RhSitjpMfo-f72moJfK6K0-V0YvldEgda5MNn8ezYgj2rOGiJlf4L1mRrC8HfJ6MpnxeeXBzIzLnWiVriVQvZn6PO_tKe68XvRzjlPnMvDhBJhkza6LZrA-_eUUVbzlS7CbI4e5KXuPUef0uaDofEQ7aRf8xcc9At1B_GM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>230489413</pqid></control><display><type>article</type><title>The myth of agency and patient choice in health care? The case of drug treatments to prevent coronary disease</title><source>MEDLINE</source><source>RePEc</source><source>Sociological Abstracts</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Access via ScienceDirect (Elsevier)</source><creator>Bryan, Stirling ; Gill, Paramjit ; Greenfield, Sheila ; Gutridge, Kerry ; Marshall, Tom</creator><creatorcontrib>Bryan, Stirling ; Gill, Paramjit ; Greenfield, Sheila ; Gutridge, Kerry ; Marshall, Tom</creatorcontrib><description>Patient choice is at the heart of health-care reform programmes in the UK and in many other countries. The success of patient choice initiatives is dependent on a well-functioning agency relationship in health care. We interviewed 197 patients from 13 general practices in the West Midlands, UK, both before and after coronary screening. Our study suggests that, for patients presenting for coronary risk screening in primary care, the agency relationship is not working well—patients’ expressed preferences relating to decisions to commence drug treatments were largely over-ridden in the clinical consultation. Therefore, if choice is to be a real driver of change in health care it needs to encompass patient empowerment and be based on a more collaborative approach to decision making between patients and professionals.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/j.socscimed.2006.07.008</identifier><identifier>PMID: 16920242</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Aged ; Agency ; Agency relationship ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular disease ; Choice ; Coronary disease ; Coronary Disease - drug therapy ; Coronary Disease - prevention & control ; Coronary Disease - psychology ; Coronary heart disease ; Decision Making ; Drug Abuse ; Drug treatments ; Female ; Health care ; Health Care Services ; Health Policy ; Health services ; Heart ; Heart Diseases ; Humans ; Male ; Medical sciences ; Medical screening ; Medical treatment ; Middle Aged ; Miscellaneous ; Patient Participation ; Patient Satisfaction ; Patients ; Physician-Patient Relations ; Primary Health Care ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Reform ; Reforms ; Studies ; UK Agency relationship Choice Coronary disease Drug treatments ; United Kingdom ; United Kingdom - epidemiology</subject><ispartof>Social science & medicine (1982), 2006-11, Vol.63 (10), p.2698-2701</ispartof><rights>2006 Elsevier Ltd</rights><rights>2006 INIST-CNRS</rights><rights>Copyright Pergamon Press Inc. Nov 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c669t-f2c0c7e8ded778ad67a8df1c15c7eb3eca5b044081658f007846fa9ae50d31f43</citedby><cites>FETCH-LOGICAL-c669t-f2c0c7e8ded778ad67a8df1c15c7eb3eca5b044081658f007846fa9ae50d31f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.socscimed.2006.07.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4008,27924,27925,31000,33774,33775,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18185958$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16920242$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://econpapers.repec.org/article/eeesocmed/v_3a63_3ay_3a2006_3ai_3a10_3ap_3a2698-2701.htm$$DView record in RePEc$$Hfree_for_read</backlink></links><search><creatorcontrib>Bryan, Stirling</creatorcontrib><creatorcontrib>Gill, Paramjit</creatorcontrib><creatorcontrib>Greenfield, Sheila</creatorcontrib><creatorcontrib>Gutridge, Kerry</creatorcontrib><creatorcontrib>Marshall, Tom</creatorcontrib><title>The myth of agency and patient choice in health care? The case of drug treatments to prevent coronary disease</title><title>Social science & medicine (1982)</title><addtitle>Soc Sci Med</addtitle><description>Patient choice is at the heart of health-care reform programmes in the UK and in many other countries. The success of patient choice initiatives is dependent on a well-functioning agency relationship in health care. We interviewed 197 patients from 13 general practices in the West Midlands, UK, both before and after coronary screening. Our study suggests that, for patients presenting for coronary risk screening in primary care, the agency relationship is not working well—patients’ expressed preferences relating to decisions to commence drug treatments were largely over-ridden in the clinical consultation. Therefore, if choice is to be a real driver of change in health care it needs to encompass patient empowerment and be based on a more collaborative approach to decision making between patients and professionals.</description><subject>Adult</subject><subject>Aged</subject><subject>Agency</subject><subject>Agency relationship</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Choice</subject><subject>Coronary disease</subject><subject>Coronary Disease - drug therapy</subject><subject>Coronary Disease - prevention & control</subject><subject>Coronary Disease - psychology</subject><subject>Coronary heart disease</subject><subject>Decision Making</subject><subject>Drug Abuse</subject><subject>Drug treatments</subject><subject>Female</subject><subject>Health care</subject><subject>Health Care Services</subject><subject>Health Policy</subject><subject>Health services</subject><subject>Heart</subject><subject>Heart Diseases</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical screening</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Patient Participation</subject><subject>Patient Satisfaction</subject><subject>Patients</subject><subject>Physician-Patient Relations</subject><subject>Primary Health Care</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Reform</subject><subject>Reforms</subject><subject>Studies</subject><subject>UK Agency relationship Choice Coronary disease Drug treatments</subject><subject>United Kingdom</subject><subject>United Kingdom - epidemiology</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>BHHNA</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkl2L1DAUhoso7rj6FzQIetd60jQfvZJl8QtWvFmvQyY53ckwbWrSDsy_33RnGMGb8SIJhOc5vAlvUbyjUFGg4tO2SsEm63t0VQ0gKpAVgHpWrKiSrOSskc-LFdRSli1n4qp4ldIWACgo9rK4oqKtoW7qVdHfb5D0h2lDQkfMAw72QMzgyGgmj8NE7CZ4i8QPZINmlzFrIn4mi2VNwsVycX4gU0Qz9dlIZApkjLh_skMMg4kH4nzCjL8uXnRml_DN6bwufn_9cn_7vbz79e3H7c1daYVop7KrLViJyqGTUhknpFGuo5byfLtmaA1fQ9OAooKrDkCqRnSmNcjBMdo17Lr4eJw7xvBnxjTp3ieLu50ZMMxJC9Uy0VJ6GaQClBD8P0DW5hziIsglFVLIyxmZ4LSBmmXw_T_gNsxxyP-nawaNahu6QPII2RhSitjpMfo-f72moJfK6K0-V0YvldEgda5MNn8ezYgj2rOGiJlf4L1mRrC8HfJ6MpnxeeXBzIzLnWiVriVQvZn6PO_tKe68XvRzjlPnMvDhBJhkza6LZrA-_eUUVbzlS7CbI4e5KXuPUef0uaDofEQ7aRf8xcc9At1B_GM</recordid><startdate>20061101</startdate><enddate>20061101</enddate><creator>Bryan, Stirling</creator><creator>Gill, Paramjit</creator><creator>Greenfield, Sheila</creator><creator>Gutridge, Kerry</creator><creator>Marshall, Tom</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Pergamon Press Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20061101</creationdate><title>The myth of agency and patient choice in health care? The case of drug treatments to prevent coronary disease</title><author>Bryan, Stirling ; Gill, Paramjit ; Greenfield, Sheila ; Gutridge, Kerry ; Marshall, Tom</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c669t-f2c0c7e8ded778ad67a8df1c15c7eb3eca5b044081658f007846fa9ae50d31f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Agency</topic><topic>Agency relationship</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Choice</topic><topic>Coronary disease</topic><topic>Coronary Disease - drug therapy</topic><topic>Coronary Disease - prevention & control</topic><topic>Coronary Disease - psychology</topic><topic>Coronary heart disease</topic><topic>Decision Making</topic><topic>Drug Abuse</topic><topic>Drug treatments</topic><topic>Female</topic><topic>Health care</topic><topic>Health Care Services</topic><topic>Health Policy</topic><topic>Health services</topic><topic>Heart</topic><topic>Heart Diseases</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical screening</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Patient Participation</topic><topic>Patient Satisfaction</topic><topic>Patients</topic><topic>Physician-Patient Relations</topic><topic>Primary Health Care</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Reform</topic><topic>Reforms</topic><topic>Studies</topic><topic>UK Agency relationship Choice Coronary disease Drug treatments</topic><topic>United Kingdom</topic><topic>United Kingdom - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bryan, Stirling</creatorcontrib><creatorcontrib>Gill, Paramjit</creatorcontrib><creatorcontrib>Greenfield, Sheila</creatorcontrib><creatorcontrib>Gutridge, Kerry</creatorcontrib><creatorcontrib>Marshall, Tom</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bryan, Stirling</au><au>Gill, Paramjit</au><au>Greenfield, Sheila</au><au>Gutridge, Kerry</au><au>Marshall, Tom</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The myth of agency and patient choice in health care? The case of drug treatments to prevent coronary disease</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>2006-11-01</date><risdate>2006</risdate><volume>63</volume><issue>10</issue><spage>2698</spage><epage>2701</epage><pages>2698-2701</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><coden>SSMDEP</coden><abstract>Patient choice is at the heart of health-care reform programmes in the UK and in many other countries. The success of patient choice initiatives is dependent on a well-functioning agency relationship in health care. We interviewed 197 patients from 13 general practices in the West Midlands, UK, both before and after coronary screening. Our study suggests that, for patients presenting for coronary risk screening in primary care, the agency relationship is not working well—patients’ expressed preferences relating to decisions to commence drug treatments were largely over-ridden in the clinical consultation. Therefore, if choice is to be a real driver of change in health care it needs to encompass patient empowerment and be based on a more collaborative approach to decision making between patients and professionals.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>16920242</pmid><doi>10.1016/j.socscimed.2006.07.008</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0277-9536 |
| ispartof | Social science & medicine (1982), 2006-11, Vol.63 (10), p.2698-2701 |
| issn | 0277-9536 1873-5347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68936911 |
| source | MEDLINE; RePEc; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Access via ScienceDirect (Elsevier) |
| subjects | Adult Aged Agency Agency relationship Biological and medical sciences Cardiology. Vascular system Cardiovascular disease Choice Coronary disease Coronary Disease - drug therapy Coronary Disease - prevention & control Coronary Disease - psychology Coronary heart disease Decision Making Drug Abuse Drug treatments Female Health care Health Care Services Health Policy Health services Heart Heart Diseases Humans Male Medical sciences Medical screening Medical treatment Middle Aged Miscellaneous Patient Participation Patient Satisfaction Patients Physician-Patient Relations Primary Health Care Public health. Hygiene Public health. Hygiene-occupational medicine Reform Reforms Studies UK Agency relationship Choice Coronary disease Drug treatments United Kingdom United Kingdom - epidemiology |
| title | The myth of agency and patient choice in health care? The case of drug treatments to prevent coronary disease |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T19%3A46%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20myth%20of%20agency%20and%20patient%20choice%20in%20health%20care?%20The%20case%20of%20drug%20treatments%20to%20prevent%20coronary%20disease&rft.jtitle=Social%20science%20&%20medicine%20(1982)&rft.au=Bryan,%20Stirling&rft.date=2006-11-01&rft.volume=63&rft.issue=10&rft.spage=2698&rft.epage=2701&rft.pages=2698-2701&rft.issn=0277-9536&rft.eissn=1873-5347&rft.coden=SSMDEP&rft_id=info:doi/10.1016/j.socscimed.2006.07.008&rft_dat=%3Cproquest_cross%3E57167674%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=230489413&rft_id=info:pmid/16920242&rft_els_id=S0277953606003546&rfr_iscdi=true |