Decision making preferences among patients with heart attacks

In a research letter, Harlan M. Krumholz, M.D., S.M., from Yale University School of Medicine and colleagues, "sought to investigate preferences for participation in the decision-making process among individuals hospitalized with an acute myocardial infarction ([AMI] or heart attack)." The researchers combined data from two similar AMI registries (TRIUMPH and PREMIER) which resulted in 6,636 patients in the study sample who were asked about who should make decisions on treatment options.

"More than two-thirds of patients with AMI indicated a preference to play an active role in the decision-making process, and of those, about a quarter preferred that the decision be theirs alone rather than shared with their physician," the authors found. "Our findings indicate that physicians who aspire to provide patient-centered care should assess patients' decision-making preferences by directly asking each patient."

"Our challenge now is to develop systems that fully respect these preferences and ensure that patients who prefer an active role are given that opportunity," the authors conclude.

More information: JAMA Intern Med. Published online May 27, 2013. doi:10.1001/jamainternmed.2013.6057

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Women, work and the menopause

30 minutes ago

Menopausal women fear age-based discrimination in the workplace and face a glaring lack of menopause-specific support, according to new research.

Cohabiting couples differ on contraceptive use by class

1 hour ago

Most cohabiting couples intend to delay childbirth until they're married, steadily employed and financially stable. Despite these preferences, surprise pregnancies are common, particularly among working-class men and women ...

Nurse turnover assessments inconsistent

2 hours ago

(HealthDay)—More than 17 percent of new nurses leave their first job within one year of starting, according to research published online Aug. 25 in Policy, Politics, & Nursing Practice.

AMA launches three programs for physician wellness

4 hours ago

(HealthDay)—Physicians' personal health is a global concern and three initiatives are being developed to encourage positive change, according to a report from the American Medical Association (AMA).

User comments