The myth of agency and patient choice in health care? The case of drug treatments to prevent coronary disease

S Bryan, P Gill, S Greenfield, K Gutridge, T Marshall

Research output: Contribution to journalArticle (Academic Journal)peer-review

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.
Translated title of the contributionThe myth of agency and patient choice in health care? The case of drug treatments to prevent coronary disease
Original languageEnglish
Pages (from-to)2698 - 2701
Number of pages4
JournalSocial Science and Medicine
Volume63 (10)
DOIs
Publication statusPublished - Nov 2006

Bibliographical note

Publisher: Elsevier

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