Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

COSSA makes 10 suggestions to next Administration for supporting and using social science research

Thompson says US prison population is 'staggeringly high' at about 1.5 million, despite 2% drop for 2015

Levy et al. find Michigan's Medicaid expansion boosted state's economy while increasing number of insured

More News

Highlights

2017 PAA Annual Meeting, April 27-29, Chicago

NIH funding opportunity: Etiology of Health Disparities and Health Advantages among Immigrant Populations (R01 and R21), open Jan 2017

Russell Sage 2017 Summer Institute in Computational Social Science, June 18-July 1. Application deadline Feb 17.

Russell Sage 2-week workshop on social science genomics, June 11-23, 2017, Santa Barbara

More Highlights

Next Brown Bag

Mon, Jan 23, 2017 at noon:
Decline of cash assistance and child well-being, Luke Shaefer

Disparities in patient reports of communications to inform decision making in the DECISIONS survey

Publication Abstract

Zikmund-Fisher, B., Mick P. Couper, and A. Fagerlin. 2012. "Disparities in patient reports of communications to inform decision making in the DECISIONS survey." Patient Education and Counseling, 87(2): 198-205.

OBJECTIVE: To identify patient- and decision-type predictors of two key aspects of informed decision making: discussing the cons (not just the pros) of medical interventions and asking patients what they want to do. METHODS: Using data from 2473 members of the DECISIONS survey, a nationally representative sample of U.S. adults age 40+, we used logistic regression analysis to identify which patient characteristics predicted patient reports of healthcare providers discussing cons or eliciting preferences about one of 9 common medical decisions. RESULTS: Multiple demographic characteristics predicted both discussions of cons and elicitations of preferences, although the specific characteristics varied between decision contexts. In particular, African-American respondents reported being more likely to receive a discussion of the cons of cancer screening (OR=1.69, p<0.05) yet less likely to have been asked their opinion about either getting a cancer screening test (OR=0.56, p<0.05) or initiating medications (OR=0.53, p<0.05). Significant cross-decision variations remained even after controlling for patient characteristics. CONCLUSIONS: Important disparities in patient communication and involvement appear to exist both between different types of medical decisions and between different types of patients. PRACTICE IMPLICATIONS: Providers must make sure to consistently discuss the cons of treatment and to solicit input from all patients, especially African-Americans.

DOI:10.1016/j.pec.2011.08.002 (Full Text)

Browse | Search : All Pubs | Next