The Experts below are selected from a list of 312 Experts worldwide ranked by ideXlab platform
Judith D. De Jong - One of the best experts on this subject based on the ideXlab platform.
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What role does health literacy play in patients' involvement in Medical Decision-Making?
PloS one, 2017Co-Authors: Anne E M Brabers, Liset Van Dijk, Peter P. Groenewegen, Jany Rademakers, Judith D. De JongAbstract:Patients vary in their preferences towards involvement in Medical Decision-Making. Previous research, however, gives no clear explanation for this observed variation in their involvement. One possible explanation might be health literacy. Health literacy refers to personal characteristics and social resources needed for people to access, understand and use information to make Decisions about their health. This study aimed to examine the relationship between health literacy and self-reported patient involvement. With respect to health literacy, we focused on those competences relevant for Medical Decision-Making. We hypothesized that people with higher health literacy report that they are more involved in Medical Decision-Making. A structured questionnaire was sent to members of the Dutch Health Care Consumer Panel in May 2015 (response 46%, N = 974). Health literacy was measured using five scales of the Health Literacy Questionnaire. A regression model was used to estimate the relationship between health literacy and self-reported involvement. In general, our results did not show a relationship between health literacy and self-reported involvement. We did find a positive significant association between the health literacy scale appraisal of health information and self-reported involvement. Our hypothesis was partly confirmed. The results from this study suggest that higher order competences, that is to say critical health literacy, in particular, are important in reporting involvement in Medical Decision-Making. Future research is recommended to unravel further the relationship between health literacy and patient involvement in order to gain insight into whether health literacy might be an asset to enhance patient participation in Medical Decision-Making.
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Social support plays a role in the attitude that people have towards taking an active role in Medical Decision-Making.
BMC health services research, 2016Co-Authors: Anne E M Brabers, Peter P. Groenewegen, Judith D. De Jong, Liset Van DijkAbstract:There is a growing emphasis towards including patients in Medical Decision-Making. However, not all patients are actively involved in such Decisions. Research has so far focused mainly on the influence of patient characteristics on preferences for active involvement. However, it can be argued that a patient’s social context has to be taken into account as well, because social norms and resources affect behaviour. This study aims to examine the role of social resources, in the form of the availability of informational and emotional support, on the attitude towards taking an active role in Medical Decision-Making. A questionnaire was sent to members of the Dutch Health Care Consumer Panel (response 70 %; n = 1300) in June 2013. A regression model was then used to estimate the relation between Medical and lay informational support and emotional support and the attitude towards taking an active role in Medical Decision-Making. Availability of emotional support is positively related to the attitude towards taking an active role in Medical Decision-Making only in people with a low level of education, not in persons with a middle and high level of education. The latter have a more positive attitude towards taking an active role in Medical Decision-Making, irrespective of the level of emotional support available. People with better access to Medical informational support have a more positive attitude towards taking an active role in Medical Decision-Making; but no significant association was found for lay informational support. This study shows that social resources are associated with the attitude towards taking an active role in Medical Decision-Making. Strategies aimed at increasing patient involvement have to address this.
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Do social norms play a role in explaining involvement in Medical Decision-Making?
European journal of public health, 2016Co-Authors: Anne E M Brabers, Liset Van Dijk, Peter P. Groenewegen, Judith D. De JongAbstract:Background: Patients’ involvement in Medical Decision-Making is crucial to provide good quality of care that is respectful of, and responsive to, patients’ preferences, needs and values. Whether people want to be involved in Medical Decision-Making is associated with individual patient characteristics, and health status. However, the observation of differences in whether people want to be involved does not in itself provide an explanation. Insight is necessary into mechanisms that explain people’s involvement. This study aims to examine one mechanism, namely social norms. We make a distinction between subjective norms, that is doing what others think one ought to do, and descriptive norms, doing what others do. We focus on self-reported involvement in Medical Decision-Making. Methods: A questionnaire was sent to members of the Dutch Health Care Consumer Panel in May 2015 (response 46%; N = 974). A regression model was used to estimate the relationship between socio-demographics, social norms and involvement in Medical Decision-Making. Results: In line with our hypotheses, we observed that the more conservative social norms are, the less people are involved in Medical Decision-Making. The effects for both types of norms were comparable. Conclusion: This study indicates that social norms play a role as a mechanism to explain involvement in Medical Decision-Making. Our study offers a first insight into the possibility that the Decision to be involved in Medical Decision-Making is not as individual as it at first seems; someone’s social context also plays a role. Strategies aimed at emphasizing patient involvement have to address this social context.
Anne E M Brabers - One of the best experts on this subject based on the ideXlab platform.
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What role does health literacy play in patients' involvement in Medical Decision-Making?
PloS one, 2017Co-Authors: Anne E M Brabers, Liset Van Dijk, Peter P. Groenewegen, Jany Rademakers, Judith D. De JongAbstract:Patients vary in their preferences towards involvement in Medical Decision-Making. Previous research, however, gives no clear explanation for this observed variation in their involvement. One possible explanation might be health literacy. Health literacy refers to personal characteristics and social resources needed for people to access, understand and use information to make Decisions about their health. This study aimed to examine the relationship between health literacy and self-reported patient involvement. With respect to health literacy, we focused on those competences relevant for Medical Decision-Making. We hypothesized that people with higher health literacy report that they are more involved in Medical Decision-Making. A structured questionnaire was sent to members of the Dutch Health Care Consumer Panel in May 2015 (response 46%, N = 974). Health literacy was measured using five scales of the Health Literacy Questionnaire. A regression model was used to estimate the relationship between health literacy and self-reported involvement. In general, our results did not show a relationship between health literacy and self-reported involvement. We did find a positive significant association between the health literacy scale appraisal of health information and self-reported involvement. Our hypothesis was partly confirmed. The results from this study suggest that higher order competences, that is to say critical health literacy, in particular, are important in reporting involvement in Medical Decision-Making. Future research is recommended to unravel further the relationship between health literacy and patient involvement in order to gain insight into whether health literacy might be an asset to enhance patient participation in Medical Decision-Making.
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Social support plays a role in the attitude that people have towards taking an active role in Medical Decision-Making.
BMC health services research, 2016Co-Authors: Anne E M Brabers, Peter P. Groenewegen, Judith D. De Jong, Liset Van DijkAbstract:There is a growing emphasis towards including patients in Medical Decision-Making. However, not all patients are actively involved in such Decisions. Research has so far focused mainly on the influence of patient characteristics on preferences for active involvement. However, it can be argued that a patient’s social context has to be taken into account as well, because social norms and resources affect behaviour. This study aims to examine the role of social resources, in the form of the availability of informational and emotional support, on the attitude towards taking an active role in Medical Decision-Making. A questionnaire was sent to members of the Dutch Health Care Consumer Panel (response 70 %; n = 1300) in June 2013. A regression model was then used to estimate the relation between Medical and lay informational support and emotional support and the attitude towards taking an active role in Medical Decision-Making. Availability of emotional support is positively related to the attitude towards taking an active role in Medical Decision-Making only in people with a low level of education, not in persons with a middle and high level of education. The latter have a more positive attitude towards taking an active role in Medical Decision-Making, irrespective of the level of emotional support available. People with better access to Medical informational support have a more positive attitude towards taking an active role in Medical Decision-Making; but no significant association was found for lay informational support. This study shows that social resources are associated with the attitude towards taking an active role in Medical Decision-Making. Strategies aimed at increasing patient involvement have to address this.
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Do social norms play a role in explaining involvement in Medical Decision-Making?
European journal of public health, 2016Co-Authors: Anne E M Brabers, Liset Van Dijk, Peter P. Groenewegen, Judith D. De JongAbstract:Background: Patients’ involvement in Medical Decision-Making is crucial to provide good quality of care that is respectful of, and responsive to, patients’ preferences, needs and values. Whether people want to be involved in Medical Decision-Making is associated with individual patient characteristics, and health status. However, the observation of differences in whether people want to be involved does not in itself provide an explanation. Insight is necessary into mechanisms that explain people’s involvement. This study aims to examine one mechanism, namely social norms. We make a distinction between subjective norms, that is doing what others think one ought to do, and descriptive norms, doing what others do. We focus on self-reported involvement in Medical Decision-Making. Methods: A questionnaire was sent to members of the Dutch Health Care Consumer Panel in May 2015 (response 46%; N = 974). A regression model was used to estimate the relationship between socio-demographics, social norms and involvement in Medical Decision-Making. Results: In line with our hypotheses, we observed that the more conservative social norms are, the less people are involved in Medical Decision-Making. The effects for both types of norms were comparable. Conclusion: This study indicates that social norms play a role as a mechanism to explain involvement in Medical Decision-Making. Our study offers a first insight into the possibility that the Decision to be involved in Medical Decision-Making is not as individual as it at first seems; someone’s social context also plays a role. Strategies aimed at emphasizing patient involvement have to address this social context.
Melissa Roberts - One of the best experts on this subject based on the ideXlab platform.
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Evaluating Medical Decision-Making Capacity in Practice.
American family physician, 2018Co-Authors: Craig Barstow, Brian Shahan, Melissa RobertsAbstract:Medical Decision-Making capacity is the ability of a patient to understand the benefits and risks of, and the alternatives to, a proposed treatment or intervention (including no treatment). Capacity is the basis of informed consent. Patients have Medical Decision-Making capacity if they can demonstrate understanding of the situation, appreciation of the consequences of their Decision, and reasoning in their thought process, and if they can communicate their wishes. Capacity is assessed intuitively at every Medical encounter and is usually readily apparent. However, a more formal capacity evaluation should be considered if there is reason to question a patient's Decision-Making abilities. Such reasons include an acute change in mental status, refusal of a clearly beneficial recommended treatment, risk factors for impaired Decision Making, or readily agreeing to an invasive or risky procedure without adequately considering the risks and benefits. Any physician can evaluate capacity, and a structured approach is best. Several formal assessment tools are available to help with the capacity evaluation. Consultation with a psychiatrist may be helpful in some cases, but the final determination on capacity is made by the treating physician. If a patient is found not to have capacity, a surrogate Decision maker should be identified and consulted. If the patient is unable to give consent and identifying a surrogate Decision maker will result in a delay that might increase the risk of death or serious harm, physicians can provide emergency care without formal consent.
Peter P. Groenewegen - One of the best experts on this subject based on the ideXlab platform.
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What role does health literacy play in patients' involvement in Medical Decision-Making?
PloS one, 2017Co-Authors: Anne E M Brabers, Liset Van Dijk, Peter P. Groenewegen, Jany Rademakers, Judith D. De JongAbstract:Patients vary in their preferences towards involvement in Medical Decision-Making. Previous research, however, gives no clear explanation for this observed variation in their involvement. One possible explanation might be health literacy. Health literacy refers to personal characteristics and social resources needed for people to access, understand and use information to make Decisions about their health. This study aimed to examine the relationship between health literacy and self-reported patient involvement. With respect to health literacy, we focused on those competences relevant for Medical Decision-Making. We hypothesized that people with higher health literacy report that they are more involved in Medical Decision-Making. A structured questionnaire was sent to members of the Dutch Health Care Consumer Panel in May 2015 (response 46%, N = 974). Health literacy was measured using five scales of the Health Literacy Questionnaire. A regression model was used to estimate the relationship between health literacy and self-reported involvement. In general, our results did not show a relationship between health literacy and self-reported involvement. We did find a positive significant association between the health literacy scale appraisal of health information and self-reported involvement. Our hypothesis was partly confirmed. The results from this study suggest that higher order competences, that is to say critical health literacy, in particular, are important in reporting involvement in Medical Decision-Making. Future research is recommended to unravel further the relationship between health literacy and patient involvement in order to gain insight into whether health literacy might be an asset to enhance patient participation in Medical Decision-Making.
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Social support plays a role in the attitude that people have towards taking an active role in Medical Decision-Making.
BMC health services research, 2016Co-Authors: Anne E M Brabers, Peter P. Groenewegen, Judith D. De Jong, Liset Van DijkAbstract:There is a growing emphasis towards including patients in Medical Decision-Making. However, not all patients are actively involved in such Decisions. Research has so far focused mainly on the influence of patient characteristics on preferences for active involvement. However, it can be argued that a patient’s social context has to be taken into account as well, because social norms and resources affect behaviour. This study aims to examine the role of social resources, in the form of the availability of informational and emotional support, on the attitude towards taking an active role in Medical Decision-Making. A questionnaire was sent to members of the Dutch Health Care Consumer Panel (response 70 %; n = 1300) in June 2013. A regression model was then used to estimate the relation between Medical and lay informational support and emotional support and the attitude towards taking an active role in Medical Decision-Making. Availability of emotional support is positively related to the attitude towards taking an active role in Medical Decision-Making only in people with a low level of education, not in persons with a middle and high level of education. The latter have a more positive attitude towards taking an active role in Medical Decision-Making, irrespective of the level of emotional support available. People with better access to Medical informational support have a more positive attitude towards taking an active role in Medical Decision-Making; but no significant association was found for lay informational support. This study shows that social resources are associated with the attitude towards taking an active role in Medical Decision-Making. Strategies aimed at increasing patient involvement have to address this.
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Do social norms play a role in explaining involvement in Medical Decision-Making?
European journal of public health, 2016Co-Authors: Anne E M Brabers, Liset Van Dijk, Peter P. Groenewegen, Judith D. De JongAbstract:Background: Patients’ involvement in Medical Decision-Making is crucial to provide good quality of care that is respectful of, and responsive to, patients’ preferences, needs and values. Whether people want to be involved in Medical Decision-Making is associated with individual patient characteristics, and health status. However, the observation of differences in whether people want to be involved does not in itself provide an explanation. Insight is necessary into mechanisms that explain people’s involvement. This study aims to examine one mechanism, namely social norms. We make a distinction between subjective norms, that is doing what others think one ought to do, and descriptive norms, doing what others do. We focus on self-reported involvement in Medical Decision-Making. Methods: A questionnaire was sent to members of the Dutch Health Care Consumer Panel in May 2015 (response 46%; N = 974). A regression model was used to estimate the relationship between socio-demographics, social norms and involvement in Medical Decision-Making. Results: In line with our hypotheses, we observed that the more conservative social norms are, the less people are involved in Medical Decision-Making. The effects for both types of norms were comparable. Conclusion: This study indicates that social norms play a role as a mechanism to explain involvement in Medical Decision-Making. Our study offers a first insight into the possibility that the Decision to be involved in Medical Decision-Making is not as individual as it at first seems; someone’s social context also plays a role. Strategies aimed at emphasizing patient involvement have to address this social context.
Rema Raman - One of the best experts on this subject based on the ideXlab platform.
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Medical Decision Making capacity in mild cognitive impairment a 3 year longitudinal study
Neurology, 2008Co-Authors: Ozioma C Okonkwo, H R Griffith, J N Copeland, K Belue, Stephanie T Lanza, Edward Zamrini, Lindy E Harrell, John C Brockington, David G Clark, Rema RamanAbstract:Objective: To investigate longitudinal change in the Medical Decision-Making capacity (MDC) of patients with amnestic mild cognitive impairment (MCI) under different consent standards.
