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

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@article{8c4be79de04342b68d6080862f875e49,
title = "The myth of agency and patient choice in health care? The case of drug treatments to prevent coronary disease",
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.",
keywords = "coronary disease, agency relationship, drug treatments, choice, UK",
author = "Stirling Bryan and Paramjit Gill and Sheila Greenfield and K Gutridge and Tom Marshall",
year = "2006",
month = nov,
day = "1",
doi = "10.1016/j.socscimed.2006.07.008",
language = "English",
volume = "63",
pages = "2698--2701",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Reed-Elsevier (India) Private Limited",
number = "10",

}

RIS

TY - JOUR

T1 - The myth of agency and patient choice in health care? The case of drug treatments to prevent coronary disease

AU - Bryan, Stirling

AU - Gill, Paramjit

AU - Greenfield, Sheila

AU - Gutridge, K

AU - Marshall, Tom

PY - 2006/11/1

Y1 - 2006/11/1

N2 - 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.

AB - 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.

KW - coronary disease

KW - agency relationship

KW - drug treatments

KW - choice

KW - UK

UR - http://www.scopus.com/inward/record.url?scp=33749253107&partnerID=8YFLogxK

U2 - 10.1016/j.socscimed.2006.07.008

DO - 10.1016/j.socscimed.2006.07.008

M3 - Article

C2 - 16920242

VL - 63

SP - 2698

EP - 2701

JO - Social Science and Medicine

JF - Social Science and Medicine

SN - 0277-9536

IS - 10

ER -