Patients perspectives: Ideas, concerns and expectations
Its actually ICEFE
Ideas
Concerns
Expectations
Feelings
Effects
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Diagnosing the patient's preferences involves understanding their perspective
Medical misdiagnosis versus preference misdiagnosis
Doctors believe that 71% of patients with breast cancer rate keeping their breast as a top priority, but the figure reported by patients is just 7%
Doctors believe that 96% of breast cancer patients considering chemotherapy rate living as long as possible a top priority, while the figure reported by patients is 59%
Once patients become well informed, however, they frequently change their decisions:
A randomised trial of a decision aid for coronary heart disease in Toronto showed a relative reduction in preference for surgical treatment of more than 20% (an absolute reduction from 75% to 58%) for patients with stable angina
“Listen to the patient: he is telling you the diagnosis,” William Osler
Patient experience in the NHS services: NICE guidance
Listen to and address any health beliefs, concerns and preferences that the patient has, and be aware that these affect how and whether they engage with treatment (NICE)