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

PSC In The News

RSS Feed icon

Prescott finds reported sex offenses lower in neighborhoods with resident sex offenders

Geronimus says poor Detroiters face greater health risks given adverse social conditions

Armstrong's research shows parental advice helps lower risk of campus sexual assaults


Bob Willis awarded 2015 Jacob Mincer Award for Lifetime Contributions to the Field of Labor Economics

David Lam is new director of Institute for Social Research

Elizabeth Bruch wins Robert Merton Prize for paper in analytic sociology

Elizabeth Bruch wins ASA award for paper in mathematical sociology

Next Brown Bag

PSC Brown Bags will be back fall 2015

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