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Table 4 Prominent ideas around PP in the Netherlands

From: Patient participation in Dutch ethics support: practice, ideals, challenges and recommendations—a national survey

Which disadvantages of patient participation have you actually experienced/seen in practice (max 3 options)

The % exceeds 100% since individuals could choose more than one option

Reduced openness as providers would be less carefree in their discussions

16

48.5%

I did not experience any disadvantages

11

33.3%

Increased complexity of the meeting because of additional viewpoints

6

18.2%

Reduced openness as the patient requires more attention during the discussions

5

15.2%

Which advantages of patient participation have you actually experienced/seen in practice

The % exceeds 100% since individuals could choose more than one option

Improves quality of a decision (decision-content)

24

72.7%

Increases understanding of the patient perspective by the health care provider

23

69.7%

Empowers the views and voice of the patient

22

66.7%

Improves collaboration between the different stakeholders

17

51.5%

Which of the following reasons supporting patient participation are the most important according to you? (Max 2)

The % exceeds 100% since individuals could choose more than one option

Creates an opportunity to actually establish what is ‘good care’ (needs the patient’s personal voice)

32

45.1%

Empowers a patient’s perspective or at least to have the patient’s perspective heard

31

43.7%

Enables shared decision-making

27

38.0%

  

Increases collaborative practices

18

25.4%

  

Meets democratic principles and equality concerns

16

22.5%

Which of the following reasons NOT to involve patients in the ethics support intervention are most valid or applicable (Max 2)

The % exceeds 100% since individuals could choose more than one option

Patient participation reduces the ability to speak openly and freely

41

57.7%

The focus of the ethics support intervention is to develop the (moral) competencies of HCPs

22

31.0%

Patient participation could harm the patient-physician relationship, for example by a loss of trust

15

21.1%

Patient participation could be harmful for the patient

14

19.7%

Which of the following reason(s) explain the absence of patient participation in ethics support services in your practice? Which are the most important reasons? (Max 3)

The % exceeds 100% since individuals could choose more than one option

Patient participation is uncommon in my practice of ethics support

19

46.3%

The focus of ethics support interventions is mainly to improve HCPs’ moral competency

16

39.0%

Patient participation reduces the openness and ability to speak freely for HCP

11

26.8%