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

PSC In The News

RSS Feed icon

Eisenberg says many colleges now train campus personnel to spot and refer troubled college students

Farley on new strategies for city insolvencies in Michigan

Owen-Smith says universities must demonstrate value of higher education

Highlights

Call for papers: Conference on Integrating Genetics and the Social Sciences, Oct 21-22, 2016, CU-Boulder

PRB training program in policy communication for pre-docs. Application deadline, 2.28.2016

Call for proposals: PSID small grants for research on life course impacts on later life wellbeing

PSC News, fall 2015 now available

Next Brown Bag

Monday, Feb 1 at noon, 6050 ISR-Thompson
Sarah Miller

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