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3 themes described what involvement in treatment decision making meant to patients with diabetesCommentary

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V Entwistle

Dr V Entwistle, Universities of Dundee & St Andrews, Dundee, Scotland, UK;


What does being involved in treatment decision making mean to patients with diabetes?


Qualitative study.


4 multipractitioner outpatient diabetes clinics in Scotland, UK.


7 adults with type 1 diabetes and 11 with type 2 diabetes (age range 20–79 y, 56% men).


Patients participated in semi-structured interviews ⩽1 week after an outpatient visit. Interviews addressed patients’ experiences with, and feelings about, involvement in treatment decision making. Interviews were audiotaped and transcribed, and data were analysed thematically.


All patients had an understanding of involvement, and most comments focused on decision making about treatment for which health professionals were the gate keepers. Issues that patients associated with involvement in treatment decision making were grouped into 3 broad, overlapping themes. (1) Ethos and feel of healthcare encounters. Patients associated several professional behaviours with involvement, including being friendly and welcoming, “taking an active …

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