The ethics of risk communication in lifestyle interventions: Consequences of patient centredness

Health, Risk and Society

Volumn 9, Issue 1, 2007, Pages 19-36

  Eriksson, Tina ^a   Nilstun, Tore ^b   Edwards, Adrian ^c  

^a UNIVERSITY OF COPENHAGEN   (Denmark)

^b LUND UNIVERSITY   (Sweden)

^c CARDIFF UNIVERSITY   (United Kingdom)

Author keywords

Attitude of health personnel; Communication; Decision making; Ethics theory; Family practice; Health; Health services; Humans; Life style; Physician patient relations; Public health; Risk; Risk assessment; Risk communication

Indexed keywords

ACCESS TO INFORMATION; ARTICLE; CARDIOVASCULAR RISK; DOCTOR PATIENT RELATION; HEALTH CARE COST; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HUMAN; LIFESTYLE MODIFICATION; MEDICAL DECISION MAKING; MEDICAL ETHICS; MEDICAL INFORMATION; PATIENT ATTITUDE; PATIENT AUTONOMY; PATIENT CARE; PATIENT RIGHT; PROFESSIONAL STANDARD; PUBLIC HEALTH; RISK REDUCTION;

EID: 33847746124     PISSN: 13698575     EISSN: 14698331     Source Type: Journal    
DOI: 10.1080/13698570601181615     Document Type: Article

References (51)

1. Alaszewski, A. (2005) A person-centred approach to communicating risk. PLoS. Medicine, 2:2, p. e41.
2. Alaszewski, A. and Horlick-Jones, T. (2003) How can doctors communicate information about risk more effectively?. British Medical Journal, 327:7417, pp. 728-731.
3. Bayer, R. and Fairchild, A. L. (2004) The genesis of public health ethics. Bioethics, 18:6, pp. 473-492.
4. Byrne, P. and Long, B. (1976) Doctors Talking to Patients, Her Majesty's Stationery Office, London
5. Campion, P. Foulkes, J., Neighbour, R. and Tate, P. (2002) Patient centredness in the MRCGP video examination: Analysis of large cohort. Membership of the Royal College of General Practitioners. British Medical Journal, 325:7366, pp. 691-692.
6. Edwards, A., Thomas, I., Williams, D., Brown, P., Ellner, A. and Elwyn, G. (2006) Presenting risk information to people with diabetes: evaluating effects and preferences for different formats by a web-based randomised controlled trial. Patient education and counseling, 63:3, pp. 336-349.
7. Edwards, A. (2003) Communicating risks. British Medical Journal, 327:7417, pp. 691-692.
8. Edwards, A., Elwyn, G. and Gwyn, R. (1999) General practice registrar responses to the use of different risk communication tools in simulated consultations: A focus group study. British Medical Journal, 319:7212, pp. 749-752.
9. Edwards, A., Elwyn, G. and Mulley, A. (2002) Explaining risks: Turning numerical data into meaningful pictures. British Medical Journal, 324:7341, pp. 827-830.
10. Edwards, A., Elwyn, G., Wood, F., Atwell, C., Prior, L. and Houston, H. (2005) Shared decision making and risk communication in practice: A qualitative study of GPs 'experiences. The British journal of general practice, 55:510, pp. 6-13.
11. Edwards, A. and Elwyn, G. J. (2001) Risks - listen and don't mislead. The British journal of general practice, 51:465, pp. 259-260.
12. Edwards, A. and Prior, L. (1997) Communication about risk - dilemmas for general practitioners. The Department of General Practice Working Group, University of Wales College of Medicine. The British journal of general practice, 47:424, pp. 739-742.
13. Elwyn, G. (2001) Shared Decision Making. Patient Involvement in Clinical Practice, Centre for Quality of Care Research (WOK), Nijmegen
14. Elwyn, G., Edwards, A., Gwyn, R. and Grol, R. (1999) Towards a feasible model for shared decision making: Focus group study with general practice registrars. British Medical Journal, 319:7212, pp. 753-756.
15. Elwyn, G., Edwards, A., Kinnersley, P. and Grol, R. (2000) Shared decision making and the concept of equipoise: The competences of involving patients in healthcare choices. The British journal of general practice, 50:460, pp. 892-899.
16. Elwyn, G. and Gwyn, R. (1999) Narrative based medicine: Stories we hear and stories we tell: Analysing talk in clinical practice. British Medical Journal, 318:7177, pp. 186-188.
17. Engel, G. L. (1981) The clinical application of the biopsychosocial model. The Journal of Medicine and Philosophy, 6:2, pp. 101-123.
18. Fischhoff, B., Slovic, P. and Lichtenstein, S. (1979) Which risks are acceptable?. Environment, pp. 17-38.
19. Gafni, A., Charles, C. and Whelan, T. (1998) The physician-patient encounter: The physician as a perfect agent for the patient versus the informed treatment decision-making model. Social science & medicine, 47:3, pp. 347-354.
20. Gigerenzer, G. and Edwards, A. (2003) Simple tools for understanding risks: From innumeracy to insight. British Medical Journal, 327:7417, pp. 741-744.
21. Goldman, R. E., Parker, D. R., Eaton, C. B., Borkan, J. M. Gramling, R., Cover, R. T. and Ahern, D. K. (2006) Patients' perceptions of cholesterol, cardiovascular disease risk and risk communication strategies. Annals of family medicine, 4:3, pp. 205-212.
22. Grill, K. and Hansson, S. O. (2005) Epistemic paternalism in public health. Journal of medical ethics, 31:11, pp. 648-653.
23. Gyrd-Hansen, D., Kristiansen, I. S., Nexoe, J. and Nielsen, J. B. (2003) How do individuals apply risk information when choosing among health care interventions?. Risk analysis: An official publication of the Society for Risk Analysis, 23:4, pp. 697-704.
24. Holm, S. (1996) Ethical problems in clinical practice-a study of the ethical reasoning of health care professionals, Thesis. Department of Medical Philosophy and Clinical Theory, University of Copenhagen
25. Hope, T. (1996) Evidence-based patient choice, King's Fund Publishing, London
26. Johnson, T. (1972) Professions and Power, Macmillan, London
27. Kalda, R., Polluste, K. and Lember, M. (2003) Patient satisfaction with care is associated with personal choice of physician. Health Policy, 64:1, pp. 55-62.
28. Kamill, P. (2003) Narrative-based medicine. The British journal of general practice, 53:489, p. 326.
29. Keating, N. L., Gandhi, T. K., Orav, E. J., Bates, D. W. and Ayanian, J. Z. (2004) Patient characteristics and experiences associated with trust in specialist physicians. Archives of internal medicine, 164:9, pp. 1015-1020.
30. Kedward, J. and Dakin, L. (2003) A qualitative study of barriers to the use of statins and the implementation of coronary heart disease prevention in primary care. The British journal of general practice, 53:494, pp. 684-689.
31. Liew, H., Taylor, D. M., Tjipto, A. and Bailey, M. (2006) Investigation of the variables that impact upon the knowledge of cardiac risk factors. Emergency medicine Australasia: EMA, 18:3, pp. 252-258.
32. Mazur, D. J. (2000) Information disclosure and beyond: How do patients understand and use the information they report they want?. Medical decision making: An international journal of the Society for Medical Decision Making, 20:1, pp. 132-134.
33. Mechanic, D. (2003) Managing behavioral health in Medicaid. The New England journal of medicine, 348:19, pp. 1914-1916.
34. Mechanic, D. and Meyer, S. (2000) Concepts of trust among patients with serious illness. Social science & medicine, 51:5, pp. 657-668.
35. Miller, S. M. (1995) Monitoring versus blunting styles of coping with cancer influence the information patients want and need about their disease. Implications for cancer screening and management. Cancer, 76:2, pp. 167-177.
36. Musich, S.,. Hook, D.,. Barnett, T. and Edington, D. W. (2003) The association between health risk status and health care costs among the membership of an Australian health plan. Health promotion international, 18:1, pp. 57-65.
37. Nexoe, J., Kristiansen, I. S., Gyrd-Hansen, D. and Nielsen, J. B. (2005) Influence of number needed to treat, costs and outcome on preferences for a preventive drug. Family practice, 22:1, pp. 126-131.
38. NHS Executive (1996) Patient partnership: Building a collaborative strategy, Department of Health, London
39. O'Connor, A. M., Legare, F. and Stacey, D. (2003) Risk communication in practice: The contribution of decision aids. British Medical Journal, 327:7417, pp. 736-740.
40. Paling, J. (2003) Strategies to help patients understand risks. British Medical Journal, 327:7417, pp. 745-748.
41. Pendleton, D., Schofield, T., Tate, P. and Havelock, P. (1984) The Consultation: An Approach to Learning and Teaching, Oxford University Press, Oxford
42. Quill, T. E. and Cassel, C. K. (1995) Nonabandonment: A central obligation for physicians. Annals of internal medicine, 122:5, pp. 368-374.
43. Reyna, V. F., Lloyd, F. J. and Whalen, P. (2001) Genetic testing and medical decision making. Archives of internal medicine, 161:20, pp. 2406-2408.
44. Schneider, A., Korner, T., Mehring, M., Wensing, M., Elwyn, G. and Szecsenyi, J. (2006) Impact of age, health locus of control and psychological co-morbidity on patients' preferences for shared decision making in general practice. Patient education and counseling, 61:2, pp. 292-298.
45. Schneider, C. (1998) The practice of autonomy: Patients, doctors and medical decisions, Oxford University Press, New York
46. Sladek, R. M., Phillips, P. A. and Bond, M. J. (2006) Implementation science: A role for parallel dual processing models of reasoning?. Implementation science: IS, 1, p. 12.
47. Slovic, P., Kraus, N. and Corvello, V. T. (1990) What should we know about making risk comparisons?. Risk analysis: An official publication of the Society for Risk Analysis, pp. 389-392.
48. Stewart, M. and Brown, J. (2001) Patient-centredness in medicine. Evidence based patient choice, pp. 97-118. Oxford University Press, London
49. Stewart, M. A. (1995) Effective physician-patient communication and health outcomes: A review. Canadian Medical Association journal, 152:9, pp. 1423-1433.
50. van Steenkiste, B., van Der, W. T., Stoffers, H. E. and Grol, R. (2004) Barriers to implementing cardiovascular risk tables in routine general practice. Scandinavian journal of primary health care, 22:1, pp. 32-37.
51. Weiss, R. J. (1980) The biopsychosocial model and primary care. Psychosomatic medicine, 42, pp. 123-130.