Examining cancer patient preferences during three stages of decision making and family involvement: a multicenter survey study in China
Abstract Background Medical decision-making is a complex multi-stage process. Chinese cancer patients’ preference for participation in decision-making stages, family involvement and influencing factors remain unclear. Methods A total of 1,422 cancer patients from four tertiary hospitals in China wer...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Medical Informatics and Decision Making |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12911-024-02846-z |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544624974331904 |
|---|---|
| author | Siyu Yan Danqi Wang Qiao Huang Yongbo Wang Manru Fan Hongyang Xue Linxin Yu Yinghui Jin |
| author_facet | Siyu Yan Danqi Wang Qiao Huang Yongbo Wang Manru Fan Hongyang Xue Linxin Yu Yinghui Jin |
| author_sort | Siyu Yan |
| collection | DOAJ |
| description | Abstract Background Medical decision-making is a complex multi-stage process. Chinese cancer patients’ preference for participation in decision-making stages, family involvement and influencing factors remain unclear. Methods A total of 1,422 cancer patients from four tertiary hospitals in China were included in the cross-sectional survey. Patient Expectation for Participation in Medical Decision-making Scale was used to measure patients’ information, deliberation and decisional control preferences. The patient-family Control Preferences Scale was used to measure expected and actual levels of family involvement. Generalized estimation equation was performed to explore factors associated with patients’ preferences. Results 93.0% of patients had a high preference for information exchange, 95.8% for treatment deliberation, and 61.7% for decisional control. Equal participation was most common in family involvement in decision-making, followed by family-led and patient-led. 15.5% of patients reported a discrepancy between expected and actual family involvement. Age, education, marital status, number of adult children, occupation, family income, regular residence, health insurance and time since diagnosis were related to patient preference. Compared to patients with other cancer sites, those with breast [odds ratio (OR) 2.02, 95%CI: 1.47–2.77] and thyroid cancer [OR 2.37, 95%CI: 1.82–3.10] had higher information preference, those with breast [OR 2.98, 95%CI: 2.73–3.26] and esophagus cancer [OR 2.86, 95%CI: 1.13–7.22] had higher deliberation preference, and thyroid cancer patients [OR 1.50, 95%CI: 1.07–2.10] had higher decisional control preference. Patients who expected or experienced equal participation had higher preference at all stages of decision-making than those with family-led involvement. Patients with inconsistent expected and actual family involvement had lower preferences for the deliberation [OR 0.53, 95%CI: 0.36–0.77] and decisional control stages [OR 0.67, 95%CI: 0.56–0.79]. Conclusions Chinese cancer patients generally have high preference for information exchange and treatment deliberation, but varied preferences for decision control, influenced by patients’ sociodemographic factors, cancer types, time since diagnosis and family involvement. The findings underscore the importance of tailoring medical decision-making processes to individual patient preferences and ensuring family involvement aligns with patient expectations to enhance patient-centered care in China. |
| format | Article |
| id | doaj-art-d3d15266d10e445dac75a9fdfd564680 |
| institution | Kabale University |
| issn | 1472-6947 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Informatics and Decision Making |
| spelling | doaj-art-d3d15266d10e445dac75a9fdfd5646802025-01-12T12:26:27ZengBMCBMC Medical Informatics and Decision Making1472-69472025-01-0125111010.1186/s12911-024-02846-zExamining cancer patient preferences during three stages of decision making and family involvement: a multicenter survey study in ChinaSiyu Yan0Danqi Wang1Qiao Huang2Yongbo Wang3Manru Fan4Hongyang Xue5Linxin Yu6Yinghui Jin7Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan UniversityCenter for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan UniversityCenter for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan UniversityCenter for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan UniversityFirst School of Clinical Medicine of Wuhan UniversityFirst School of Clinical Medicine of Wuhan UniversityFirst School of Clinical Medicine of Wuhan UniversityCenter for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan UniversityAbstract Background Medical decision-making is a complex multi-stage process. Chinese cancer patients’ preference for participation in decision-making stages, family involvement and influencing factors remain unclear. Methods A total of 1,422 cancer patients from four tertiary hospitals in China were included in the cross-sectional survey. Patient Expectation for Participation in Medical Decision-making Scale was used to measure patients’ information, deliberation and decisional control preferences. The patient-family Control Preferences Scale was used to measure expected and actual levels of family involvement. Generalized estimation equation was performed to explore factors associated with patients’ preferences. Results 93.0% of patients had a high preference for information exchange, 95.8% for treatment deliberation, and 61.7% for decisional control. Equal participation was most common in family involvement in decision-making, followed by family-led and patient-led. 15.5% of patients reported a discrepancy between expected and actual family involvement. Age, education, marital status, number of adult children, occupation, family income, regular residence, health insurance and time since diagnosis were related to patient preference. Compared to patients with other cancer sites, those with breast [odds ratio (OR) 2.02, 95%CI: 1.47–2.77] and thyroid cancer [OR 2.37, 95%CI: 1.82–3.10] had higher information preference, those with breast [OR 2.98, 95%CI: 2.73–3.26] and esophagus cancer [OR 2.86, 95%CI: 1.13–7.22] had higher deliberation preference, and thyroid cancer patients [OR 1.50, 95%CI: 1.07–2.10] had higher decisional control preference. Patients who expected or experienced equal participation had higher preference at all stages of decision-making than those with family-led involvement. Patients with inconsistent expected and actual family involvement had lower preferences for the deliberation [OR 0.53, 95%CI: 0.36–0.77] and decisional control stages [OR 0.67, 95%CI: 0.56–0.79]. Conclusions Chinese cancer patients generally have high preference for information exchange and treatment deliberation, but varied preferences for decision control, influenced by patients’ sociodemographic factors, cancer types, time since diagnosis and family involvement. The findings underscore the importance of tailoring medical decision-making processes to individual patient preferences and ensuring family involvement aligns with patient expectations to enhance patient-centered care in China.https://doi.org/10.1186/s12911-024-02846-zPatient preferenceCancerInformation preferenceDeliberation preferenceShared decision makingFamily involvement |
| spellingShingle | Siyu Yan Danqi Wang Qiao Huang Yongbo Wang Manru Fan Hongyang Xue Linxin Yu Yinghui Jin Examining cancer patient preferences during three stages of decision making and family involvement: a multicenter survey study in China BMC Medical Informatics and Decision Making Patient preference Cancer Information preference Deliberation preference Shared decision making Family involvement |
| title | Examining cancer patient preferences during three stages of decision making and family involvement: a multicenter survey study in China |
| title_full | Examining cancer patient preferences during three stages of decision making and family involvement: a multicenter survey study in China |
| title_fullStr | Examining cancer patient preferences during three stages of decision making and family involvement: a multicenter survey study in China |
| title_full_unstemmed | Examining cancer patient preferences during three stages of decision making and family involvement: a multicenter survey study in China |
| title_short | Examining cancer patient preferences during three stages of decision making and family involvement: a multicenter survey study in China |
| title_sort | examining cancer patient preferences during three stages of decision making and family involvement a multicenter survey study in china |
| topic | Patient preference Cancer Information preference Deliberation preference Shared decision making Family involvement |
| url | https://doi.org/10.1186/s12911-024-02846-z |
| work_keys_str_mv | AT siyuyan examiningcancerpatientpreferencesduringthreestagesofdecisionmakingandfamilyinvolvementamulticentersurveystudyinchina AT danqiwang examiningcancerpatientpreferencesduringthreestagesofdecisionmakingandfamilyinvolvementamulticentersurveystudyinchina AT qiaohuang examiningcancerpatientpreferencesduringthreestagesofdecisionmakingandfamilyinvolvementamulticentersurveystudyinchina AT yongbowang examiningcancerpatientpreferencesduringthreestagesofdecisionmakingandfamilyinvolvementamulticentersurveystudyinchina AT manrufan examiningcancerpatientpreferencesduringthreestagesofdecisionmakingandfamilyinvolvementamulticentersurveystudyinchina AT hongyangxue examiningcancerpatientpreferencesduringthreestagesofdecisionmakingandfamilyinvolvementamulticentersurveystudyinchina AT linxinyu examiningcancerpatientpreferencesduringthreestagesofdecisionmakingandfamilyinvolvementamulticentersurveystudyinchina AT yinghuijin examiningcancerpatientpreferencesduringthreestagesofdecisionmakingandfamilyinvolvementamulticentersurveystudyinchina |