Medical treatment ‘choice’ and the informed patient

What choice do patients actually have and how can patients work closer with their doctors to review all the most relevant options? People talk about ‘patient empowerment’ to the extent that it sometimes runs the risk of losing its meaning. So what does it mean? Does ‘power’ corrupt? And, how can patients use ‘power’ to work with health professionals to get the best possible care? Also, what is ‘patient choice’ in reality? What choice do patients actually have and how can patients work closer with their doctors to review all the most relevant options.

Many patients will have questions such as:

1. I assume my doctor is right, but what does this diagnosis mean?

2. How do I know that this information is correct and relevant to me?

3. What are the latest technologies and treatment options?

4. Who are the experts? For example, what is my choice of hip replacement?

5. Do I need a second opinion?

6. Where do I go and who should I see?

7. Possible also - can I afford it?

For those who become more knowledgeable about the options available, the questions become far more specific.  These might include:

  • How do I decide on what type of hip replacement to have?

  • What are the latest medically recognised cancer treatments, and what actually works?

  • Should I have surgery on my slipped disc and if so, what sort of surgery should I have?

  • Should I see an orthopaedic surgeon or a neurosurgeon?

This is covered more thoroughly in the section on patient empowerment on the totalhealth website -

This, plus the section advising on pre-consultation preparation will help people to ensure they get the best care.

Abnormal, uncontrolled cell division resulting in a malignant tumour that may invade surrounding tissues or spread to distant parts of the body. Full medical glossary
The process of determining which condition a patient may have. Full medical glossary