Risk communication in consultations about hormone therapy in the menopause – concordance in risk assessment and framing due to the context
2006 (English)In: Climacteric, ISSN 1369-7137, Vol. 9, no 5, 347-354 p.Article in journal (Refereed) Published
It is important for the physician and the patient to have a mutual understanding of the possible consequences of different treatment alternatives in order to achieve a partnership in decision making.
The aim of this study was to explore to which degree first-time consultations for discussion of climacteric discomfort achieved shared understanding of the risks and benefits associated with hormone therapy in the menopausal transition (HT).
Analysis of structure and content of transcribed consultations (n=20), and follow-up interviews of the women (n=19 pairs of consultations and interviews), from first-time visits for discussion of climacteric discomfort and/or HT with five physicians at three different out-patient clinics of gynaecology in Sweden.
Four distinctively different interpretations of risk, depending on whether or not benefits were discussed in the same context, emerged from the analysis. On average 5 advantages (range 0-11) and 2 (0-3) disadvantages were mentioned during the consultations. In the interviews the women expressed on average 4 advantages (0-7) and 1 disadvantage (0-3). There were major variations between advantages and disadvantages expressed in the consultation and the following interview.
Even though the consultations scored high in patient involvement, the information in most consultations was not structured in a way that made it possible to achieve a shared or an informed decision making.
Place, publisher, year, edition, pages
2006. Vol. 9, no 5, 347-354 p.
Risk, Risk assessment, Communication, Physician-Patient Relations, Professional-Patient Relations
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-11692DOI: 10.1080/13697130600870220OAI: oai:DiVA.org:liu-11692DiVA: diva2:18117
Original publication: Hoffmann M, Hammar M, Kjellgren K I, Lindh-Åstrand L and Ahlner J, Risk communication in consultations about hormone therapy in the menopause – concordance in risk assessment and framing due to the context, 2006, Climacteric, (9), 5, 347-354. http://dx.doi.org/10.1080/13697130600870220. Copyright © Taylor & Francis Group, an informa business2008-10-132008-10-132009-05-19Bibliographically approved