کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3815404 | 1597704 | 2010 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Inconsistencies in patient perceptions and observer ratings of shared decision making: The case of colorectal cancer screening Inconsistencies in patient perceptions and observer ratings of shared decision making: The case of colorectal cancer screening](/preview/png/3815404.png)
ObjectiveTo compare patient-reported and observer-rated shared decision making (SDM) use for colorectal cancer (CRC) screening and evaluate patient, physician and patient-reported relational communication factors associated with patient-reported use of shared CRC screening decisions.MethodsStudy physicians are salaried primary care providers. Patients are insured, aged 50–80 and due for CRC screening. Audio-recordings from 363 primary care visits were observer-coded for elements of SDM. A post-visit patient survey assessed patient-reported decision-making processes and relational communication during visit. Association of patient-reported SDM with observer-rated elements of SDM, as well as patient, physician and relational communication factors were evaluated using generalized estimating equations.Results70% of patients preferred SDM for preventive health decisions, 47% of patients reported use of a SDM process, and only one of the screening discussions included all four elements of SDM per observer ratings. Patient report of SDM use was not associated with observer-rated elements of SDM, but was significantly associated with female physician gender and patient-reported relational communication.ConclusionInconsistencies exist between patient reports and observer ratings of SDM for CRC screening.Practice implicationsFuture studies are needed to understand whether SDM that is patient-reported, observer-rated or both are associated with informed and value-concordant CRC screening decisions.
Journal: Patient Education and Counseling - Volume 80, Issue 3, September 2010, Pages 358–363