Tag Archives: patient decision-making

Why are so many patients dissatisfied with their doctors?

25 Aug

by Carolyn Thomas @HeartSisters

If you sometimes feel like you don’t get enough respect from your physician, you may not be alone. In fact, two new global studies* from 23 countries show that two-thirds of patients around the world feel disrespected by their physicians – no matter which country they call home. For example, about one-quarter of patients surveyed complained that their physicians don’t answer questions, don’t involve them in treatment decisions, and use medical jargon with no explanation.

This appears to be a direct outcome of doctors not spending enough time with patients (44%).  About a third of patients also believe doctors show disrespect by not being punctual for appointments.  Continue reading

Your health care decisions: don’t worry your pretty little head over them

3 Jan

by Carolyn Thomas     @HeartSisters

My mother, like many women of her generation, would never dream of telling her doctor that she wants a second medical opinion, even if she suspected that her doctor’s treatment or advice was lacking. This means that, if he were negligent or incompetent or even downright dangerous – which he’s not, by the way –  my mother would rather die than get a second opinion. To ask for one would be rude and insulting to her physician, and that just would never happen.  Whatever her doctor says  goes unquestioned. He is the boss of her health care.

She’s not alone. Many patients choose to simply defer to their physicians, even when that physician is not providing comprehensive information about diagnosis or treatment options. As orthopedic surgeon Dr. Howard Luks described some of his colleagues:

“Time is short for doctors, they often have biases, and many assume patients don’t want the burden of overwhelming information.”

Before my own heart attack, I could have been one of those patients, too. When my doctor ordered lab tests for me, for example, I figured that if the results were bad, I would be phoned.  Otherwise, I was much too busy to even think about them.

And now when I ask the women in my heart health audiences to raise their hands if they know their blood pressure numbers, it’s common to see at least 1/3 of the group who have absolutely no clue.  And when I ask them if they know their cholesterol numbers, the awareness level is even worse.

A 2008 study of women over 40 done by The Federation of Medical Women of Canada (called the LIPSTICK Survey) reported that women spend more time thinking about their weight than they do about their hearts. Only 10% of women surveyed, for example, knew their personal cardiac risk factors, versus 64% of women who know how much they weighed in high school. Continue reading