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Is consulting patients about their health service preferences a useful exercise?

机译：向患者咨询其医疗服务偏好是否有用？

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As part of the shift toward patient-centered care, patients are increasingly being consulted about their preferences for health services and interventions, including those explored during randomized controlled trials (RCTs), to ensure that service recommendations are aligned to their own circumstances and needs. Hence, we interviewed patients (N = 40) who participated in a randomized control trial comparing diabetes education courses delivered using two different formats to establish whether, and why, they preferred one format to the other, to inform recommendations for future course delivery. Not only did patients report changing their preferences, and the reasons underlying these preferences, over time, but all patients also claimed to prefer the particular course they had attended. We use our findings and experiences to problematize the notion of a patient preference and to raise questions about what we can really learn from consulting patients about the care they receive within the context of an RCT.
机译：作为转向以患者为中心的护理的一部分，越来越多地向患者咨询他们对健康服务和干预措施的偏好，包括在随机对照试验（RCT）期间探讨的偏好，以确保服务建议与自身情况和需求保持一致。因此，我们采访了参加随机对照试验的患者（N = 40），该患者比较了使用两种不同格式提供的糖尿病教育课程，以确定他们是否以及为什么偏爱一种格式，以便为以后的课程提供建议。随着时间的流逝，患者不仅报告自己的偏好发生改变，而且这些偏好的原因也有所改变，而且所有患者还声称偏爱他们曾参加过的特定课程。我们使用我们的发现和经验来质疑患者偏爱的概念，并提出关于我们可以从咨询患者中了解他们在RCT范围内所获得的护理方面真正可以学到什么的问题。

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