Background. Effective chronic disease self-management among older adults is crucial for improved clinical outcomes. We assessed the relative importance of two dimensions of physician communication – provision of information (PCOM) and participatory decision-making (PDM) – for older patients’ diabetes self-management and glycemic control. Methods. We conducted a national cross-sectional survey among 1588 older community-dwelling adults… Continue reading Does physician communication influence older patients’ diabetes self-management and glycemic control? Results from the health and retirement study (HRS)
Keyword: Physician-Patient Relations
The DECISIONS study: A nationwide survey of United States adults regarding 9 common medical decisions
Background. Patient involvement is required before patients' preferences can be reflected in the medical care they receive. Furthermore, patients are a vital link between physicians' assessments of patients' needs and actual implementation of appropriate care. Yet no study has specifically examined how and when a representative sample of patients considered, discussed, and made medical decisions.… Continue reading The DECISIONS study: A nationwide survey of United States adults regarding 9 common medical decisions
Race, ethnicity, and shared decision making for hyperlipidemia and hypertension treatment: The DECISIONS survey
Background. Racial/ethnic differences in shared decision making about cardiovascular risk-reduction therapy could affect health disparities. Objective. To investigate whether patient race/ethnicity is associated with experiences discussing cardiovascular risk-reduction therapy with health care providers. Setting. National sample of US adults identified by random-digit dialing. Design. Cross-sectional survey conducted in November 2006 to May 2007. Participants. Among… Continue reading Race, ethnicity, and shared decision making for hyperlipidemia and hypertension treatment: The DECISIONS survey
Self-reported barriers to mammography: implications for physicians
Decision-making processes for breast, colorectal, and prostate cancer screening: The DECISIONS survey
Background. Patients should understand the risks and benefits of cancer screening in order to make informed screening decisions. Objectives. To evaluate the extent of informed decision making in patient-provider discussions for colorectal (CRC), breast (BrCa), and prostate (PCa) cancer screening. Setting. National sample of US adults identified by random-digit dialing. Design. Cross-sectional survey conducted between… Continue reading Decision-making processes for breast, colorectal, and prostate cancer screening: The DECISIONS survey
Perceived risk of cancer and patient reports of participation in decisions about screening: The DECISIONS study
Background. Health behavior theories suggest that high perceived risk for cancer will be associated with screening, but few studies have examined how perceived risk relates to the screening decision process. Objective. To examine relationships between perceived risk of cancer and behaviors during decision making for 3 screening tests. Design. Cross-sectional survey conducted between November 2006… Continue reading Perceived risk of cancer and patient reports of participation in decisions about screening: The DECISIONS study