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Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/3859

Title: The value of choice: A qualitative study
Authors: Barnett, J
Ogden, J
Daniells, E
Keywords: Choice
Primary healthcare
Qualitative
Publication Date: 2008
Publisher: Royal College of General Practitioners
Citation: British Journal of General Practice, 58(554): 609-613, Sep 2008
Abstract: Background Providing choice in health care is part of an ongoing policy initiative Aim To explore how people understand choice in health care provision Setting South East England Design of Study A qualitative study using semi structured interviews Method Twenty two people recruited through advertising were interviewed about choice in general and choice in health care in particular. The data were analysed using template analysis. Results Participants grounded their consideration of choice in the NHS within the GP consultation. Four main themes about choice were identified: positive aspects of choice; the appearance of choice; unwanted choice; and the role of information in choice. In particular, there was strong assent to the value of choice in principle and having choice was seen as positive. The provision of choice options, however, was not always associated with the possibility of meaningful choice and participants felt that the appearance rather than the substance of choice was sometimes in evidence. Making – as opposed to having - choice was often unwanted and considered as indicative of erosion in trust in the GP and to occasion regret. Information was seen as a necessary but not sufficient prerequisite of informed choice Conclusion People value having choices rather than making choices but are concerned about choice provision for its own sake rather than choice that is available in a meaningful way. Health care policy that recommends an increase in choice per se may be met with scepticism which could ultimately undermine rather than promote the doctor / patient relationship.
URI: http://bura.brunel.ac.uk/handle/2438/3859
DOI: http://dx.doi.org/10.3399/bjgp08X330717
ISSN: 0960-1643
Appears in Collections:Computer Science
Dept of Computer Science Research Papers

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