| Summary: | 碩士 === 國立臺灣大學 === 醫療機構管理研究所 === 95 === Purposes:
The purposes of this study were to find out Taiwan women’s preferred and perceived participation in breast cancer treatment decision making, and explore their relatred factors.
Methods:
This is a cross- sectional study. Convenient sampling was applied to select breast cancer support groups in Taiwan. Data were collected from May 20th 2007 to June 20th 2007. A total of 800 questionnaires were distributed.
Results and Recommendations:
346 (43.25%) patients were replied : 61(17.94%) preferred active role; 156 (45.88%) preferred collaborative role and 123 (36.18%) preferred passive role. Among those who preferred collaborative role, 76.62% want to make treatment decision with their doctors and families; 18.83% want to make decision with their doctors and only 4.55% want to make treatment decision with their families without doctors. Among those who preferred passive role: more than a half (55.28%) want to delegate the right to their doctors and families and only 1.63% delegate it to their families without doctors. Overall, 79.52% cancer survivors have discussed with their doctors about treatment options, 40 to 60% of women participated as much as they desired. Family history of breast cancer and educational level were factors that related to patients’ preference. Hospital accredited status, cancer staging, duration since first treatment, educational level, living condition and occupation were factors related to actual participation. Recommendations to further research: 1.considering both clinicians’ and patients’ view ; 2.taking patients’ whole course of treatment as unit of analysis; 3.focusing on different cancer, in order to obtain more comprehensive understanding about patient involvement in treatment decision making.
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