Patient Participation Affects Medical Decision Making Publish date: Dec 1, 2009 ![]() TUESDAY, Dec. 1 (HealthDay News) -- Patients with increased responsibility for medical decision making may be less likely
to accept risky treatment options, according to a study in the Dec. 15 issue of Arthritis Care & Research. Liana Fraenkel, M.D., of the Yale University School of Medicine in New Haven, Conn., and a colleague studied 216 subjects
(mean age, 59 years) who viewed videos on two new hypothetical medications for the prevention of heart disease and the treatment
of chronic pain. Subjects were informed that the medications were effective, but that each was associated one serious side
effect. After measuring subjects' willingness to take the drugs under scenarios that either maximized or minimized patient involvement
in decision making, the researchers found that maximized involvement was associated with a decreased likelihood of accepting
the drug and increased worry about the potential side effect. "While this study used hypothetical scenarios and presented extremes of patient involvement, given previous work demonstrating
the effect of voluntary appraisals on risk perception, clinicians should be aware that promoting increased patient responsibility
for decisions involving their health care may be associated with lower uptake of risky procedures or interventions," the authors
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