PMID: 8939120Nov 16, 1996Paper

Informed choice for users of health services: views on ultrasonography leaflets of women in early pregnancy, midwives, and ultrasonographers

BMJ : British Medical Journal
S OliverJ Rosser

Abstract

With the aim of promoting the informed choice of pregnant women, staff and pregnant women at two urban hospitals were offered leaflets summarising the best available evidence about the effectiveness of routine ultrasonography in early pregnancy. Ultrasonographers doubted the credibility of the evidence and were concerned that the leaflets would raise women's anxiety, reduce uptake of scans, disrupt hospital organisation, and reinforce media messages about the poor safety record of ultrasonography. Midwives thought that the leaflets would inform women, help them to talk about their care with health professionals, and help them to get better care. Women were shocked at some of the contents but thought that it was appropriate to include both advantages and disadvantages of routine scanning in the leaflet. This case study highlights the resistance of some health professionals to evidence based health care; underlying conflicts with the principle of professional autonomy; concern that informed choice may create anxiety; and professional and organisational barriers to allowing informed choice.

References

Oct 3, 1992·BMJ : British Medical Journal·I ChalmersT C Chalmers
Mar 1, 1991·Medical Care·T E Hughes, L N Larson

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Citations

May 12, 2004·Journal of Midwifery & Women's Health·Lisa M Mitchell
May 29, 2002·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Vanita BhavnaniIan Pell
Aug 28, 2004·BMJ : British Medical Journal·Alexandra BarrattKirsten McCaffery
Nov 25, 2003·Journal of Health Organization and Management·Janice McLaughlin
Apr 13, 2004·Arthritis and Rheumatism·Liana FraenkelTerri Fried
Jun 14, 2006·Journal of Advanced Nursing·Joan Lalor, Cecily Begley
Mar 14, 2000·Cytopathology : Official Journal of the British Society for Clinical Cytology·A E Raffle
Apr 3, 2001·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Margaret J. EmslieAnne Campbell
Feb 20, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D K Whynes
Mar 17, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·W H Persutte
May 22, 2001·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·V Entwistle
May 7, 1997·Quality in Health Care : QHC·D FullertonT A Sheldon
Mar 8, 1997·Journal of Health Services Research & Policy·A Coulter
Jul 23, 1999·The Medical Journal of Australia·D A TurnbullJ S Robinson

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