Health services research
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Health services research · Jun 2005
Comparative StudySatisfaction with surgery outcomes and the decision process in a population-based sample of women with breast cancer.
To better understand medical decision making in the context of "preference sensitive care," we investigated factors associated with breast cancer patients' satisfaction with the type of surgery received and with the decision process. ⋯ A significant proportion of breast cancer patients experience a decision process that matches their preferences for participation, and report satisfaction with both the process and the outcome. However, women who report more involvement in the decision process are significantly less likely to receive a lumpectomy. Thus, increasing patient involvement in the decision process will not necessarily increase use of BCS or lead to greater satisfaction. The most salient aspect for satisfaction with the decision making process is the match between patients' preferences and experiences regarding participation.
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Health services research · Jun 2005
Comment Historical ArticleCommentary--the history and contradictions of the health care safety net.