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Who decides: me or we? family involvement in medical decision making in eastern and western countries

Background: Research suggests that desired family involvement (FI) in medical decision making may depend on cultural values. Unfortunately, the field lacks cross-cultural studies that test this assumption. As a result, providers may be guided by incomplete information or cultural biases rather than...

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Main Authors: Alden, Dana L., Friend, John, Ping, Yein Lee, Yew, Kong Lee, Trevena, Lyndal, Chirk, Jenn Ng, Kiatpongsan, Sorapop, Abdullah, Khatijah Lim, Tanaka, Miho, Limpongsanurak, Supanida
Format: Article
Language:English
Published: SAGE Publications 2017
Online Access:http://psasir.upm.edu.my/id/eprint/63712/1/Who%20decides%20me%20or%20we%20Family%20involvement%20in%20medical%20decision%20making%20in%20eastern%20and%20western%20countries.pdf
http://psasir.upm.edu.my/id/eprint/63712/
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spelling my.upm.eprints.637122018-11-30T03:53:33Z http://psasir.upm.edu.my/id/eprint/63712/ Who decides: me or we? family involvement in medical decision making in eastern and western countries Alden, Dana L. Friend, John Ping, Yein Lee Yew, Kong Lee Trevena, Lyndal Chirk, Jenn Ng Kiatpongsan, Sorapop Abdullah, Khatijah Lim Tanaka, Miho Limpongsanurak, Supanida Background: Research suggests that desired family involvement (FI) in medical decision making may depend on cultural values. Unfortunately, the field lacks cross-cultural studies that test this assumption. As a result, providers may be guided by incomplete information or cultural biases rather than patient preferences. Methods: Researchers developed 6 culturally relevant disease scenarios varying from low to high medical seriousness. Quota samples of approximately 290 middle-aged urban residents in Australia, China, Malaysia, India, South Korea, Thailand, and the USA completed an online survey that examined desired levels of FI and identified individual difference predictors in each country. All reliability coefficients were acceptable. Regression models met standard assumptions. Results: The strongest finding across all 7 countries was that those who desired higher self-involvement (SI) in medical decision making also wanted lower FI. On the other hand, respondents who valued relational-interdependence tended to want their families involved – a key finding in 5 of 7 countries. In addition, in 4 of 7 countries, respondents who valued social hierarchy desired higher FI. Other antecedents were less consistent. Conclusion: These results suggest that it is important for health providers to avoid East–West cultural stereotypes. There are meaningful numbers of patients in all 7 countries who want to be individually involved and those individuals tend to prefer lower FI. On the other hand, more interdependent patients are likely to want families involved in many of the countries studied. Thus, individual differences within culture appear to be important in predicting whether a patient desires FI. For this reason, avoiding culture-based assumptions about desired FI during medical decision making is central to providing more effective patient centered care. SAGE Publications 2017-07-08 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/63712/1/Who%20decides%20me%20or%20we%20Family%20involvement%20in%20medical%20decision%20making%20in%20eastern%20and%20western%20countries.pdf Alden, Dana L. and Friend, John and Ping, Yein Lee and Yew, Kong Lee and Trevena, Lyndal and Chirk, Jenn Ng and Kiatpongsan, Sorapop and Abdullah, Khatijah Lim and Tanaka, Miho and Limpongsanurak, Supanida (2017) Who decides: me or we? family involvement in medical decision making in eastern and western countries. Medical Decision Making, 38 (1). pp. 14-25. ISSN 0272989X 10.1177/0272989X17715628
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background: Research suggests that desired family involvement (FI) in medical decision making may depend on cultural values. Unfortunately, the field lacks cross-cultural studies that test this assumption. As a result, providers may be guided by incomplete information or cultural biases rather than patient preferences. Methods: Researchers developed 6 culturally relevant disease scenarios varying from low to high medical seriousness. Quota samples of approximately 290 middle-aged urban residents in Australia, China, Malaysia, India, South Korea, Thailand, and the USA completed an online survey that examined desired levels of FI and identified individual difference predictors in each country. All reliability coefficients were acceptable. Regression models met standard assumptions. Results: The strongest finding across all 7 countries was that those who desired higher self-involvement (SI) in medical decision making also wanted lower FI. On the other hand, respondents who valued relational-interdependence tended to want their families involved – a key finding in 5 of 7 countries. In addition, in 4 of 7 countries, respondents who valued social hierarchy desired higher FI. Other antecedents were less consistent. Conclusion: These results suggest that it is important for health providers to avoid East–West cultural stereotypes. There are meaningful numbers of patients in all 7 countries who want to be individually involved and those individuals tend to prefer lower FI. On the other hand, more interdependent patients are likely to want families involved in many of the countries studied. Thus, individual differences within culture appear to be important in predicting whether a patient desires FI. For this reason, avoiding culture-based assumptions about desired FI during medical decision making is central to providing more effective patient centered care.
format Article
author Alden, Dana L.
Friend, John
Ping, Yein Lee
Yew, Kong Lee
Trevena, Lyndal
Chirk, Jenn Ng
Kiatpongsan, Sorapop
Abdullah, Khatijah Lim
Tanaka, Miho
Limpongsanurak, Supanida
spellingShingle Alden, Dana L.
Friend, John
Ping, Yein Lee
Yew, Kong Lee
Trevena, Lyndal
Chirk, Jenn Ng
Kiatpongsan, Sorapop
Abdullah, Khatijah Lim
Tanaka, Miho
Limpongsanurak, Supanida
Who decides: me or we? family involvement in medical decision making in eastern and western countries
author_facet Alden, Dana L.
Friend, John
Ping, Yein Lee
Yew, Kong Lee
Trevena, Lyndal
Chirk, Jenn Ng
Kiatpongsan, Sorapop
Abdullah, Khatijah Lim
Tanaka, Miho
Limpongsanurak, Supanida
author_sort Alden, Dana L.
title Who decides: me or we? family involvement in medical decision making in eastern and western countries
title_short Who decides: me or we? family involvement in medical decision making in eastern and western countries
title_full Who decides: me or we? family involvement in medical decision making in eastern and western countries
title_fullStr Who decides: me or we? family involvement in medical decision making in eastern and western countries
title_full_unstemmed Who decides: me or we? family involvement in medical decision making in eastern and western countries
title_sort who decides: me or we? family involvement in medical decision making in eastern and western countries
publisher SAGE Publications
publishDate 2017
url http://psasir.upm.edu.my/id/eprint/63712/1/Who%20decides%20me%20or%20we%20Family%20involvement%20in%20medical%20decision%20making%20in%20eastern%20and%20western%20countries.pdf
http://psasir.upm.edu.my/id/eprint/63712/
_version_ 1643837867005313024
score 13.211869

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