Trends in patient-perceived shared decision making among adults in the United States, 2002-2014

David Michael Levine; Bruce E. Landon; Jeffrey A. Linder

doi:10.1370/afm.2132

Trends in patient-perceived shared decision making among adults in the United States, 2002-2014

David Michael Levine^*, Bruce E. Landon, Jeffrey A. Linder

^*Corresponding author for this work

Medicine, General Medicine Division

Research output: Contribution to journal › Article › peer-review

20 Scopus citations

Abstract

To ascertain changes in shared decision making (SDM), we analyzed data from the nationally representative Medical Expenditure Panel Survey. We aggregated responses to questions into a 7-point SDM composite score. Between 2002 and 2014, the mean SDM composite score increased from 4.4 to 5.0 (P <.01), indicating greater patient-perceived SDM. In multivariate modeling, SDM scores were higher for black vs white patients (+0.33 points) and those with a same-race/ ethnicity usual source of care (+0.24 points; both P <.05). Scores were lower for patients with poor-perceived health (−0.41 points), Asian vs white race/ethnicity (−0.28 points), and no insurance (−0.17 points; all P <.05). Improvement efforts should target Americans without a same-race/ethnicity usual source of care and with poor-perceived health.

Original language	English (US)
Pages (from-to)	552-556
Number of pages	5
Journal	Annals of family medicine
Volume	15
Issue number	6
DOIs	https://doi.org/10.1370/afm.2132
State	Published - Nov 1 2017

Keywords

Clinical decision-making
Decision support techniques
Patient-centered care
Primary care
Shared decision making

ASJC Scopus subject areas

Family Practice

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title = "Trends in patient-perceived shared decision making among adults in the United States, 2002-2014",

abstract = "To ascertain changes in shared decision making (SDM), we analyzed data from the nationally representative Medical Expenditure Panel Survey. We aggregated responses to questions into a 7-point SDM composite score. Between 2002 and 2014, the mean SDM composite score increased from 4.4 to 5.0 (P <.01), indicating greater patient-perceived SDM. In multivariate modeling, SDM scores were higher for black vs white patients (+0.33 points) and those with a same-race/ ethnicity usual source of care (+0.24 points; both P <.05). Scores were lower for patients with poor-perceived health (−0.41 points), Asian vs white race/ethnicity (−0.28 points), and no insurance (−0.17 points; all P <.05). Improvement efforts should target Americans without a same-race/ethnicity usual source of care and with poor-perceived health.",

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author = "Levine, {David Michael} and Landon, {Bruce E.} and Linder, {Jeffrey A.}",

note = "Funding Information: Funding support: Dr Levine received funding support from an Institutional National Research Service Award (T32HP10251), the Ryoichi Sasakawa Fellowship Fund, and the Brigham and Women{\textquoteright}s Hospital Division of General Internal Medicine and Primary Care. Publisher Copyright: {\textcopyright} 2017, Annals of Family Medicine, Inc. All rights reserved.",

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PY - 2017/11/1

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N2 - To ascertain changes in shared decision making (SDM), we analyzed data from the nationally representative Medical Expenditure Panel Survey. We aggregated responses to questions into a 7-point SDM composite score. Between 2002 and 2014, the mean SDM composite score increased from 4.4 to 5.0 (P <.01), indicating greater patient-perceived SDM. In multivariate modeling, SDM scores were higher for black vs white patients (+0.33 points) and those with a same-race/ ethnicity usual source of care (+0.24 points; both P <.05). Scores were lower for patients with poor-perceived health (−0.41 points), Asian vs white race/ethnicity (−0.28 points), and no insurance (−0.17 points; all P <.05). Improvement efforts should target Americans without a same-race/ethnicity usual source of care and with poor-perceived health.

AB - To ascertain changes in shared decision making (SDM), we analyzed data from the nationally representative Medical Expenditure Panel Survey. We aggregated responses to questions into a 7-point SDM composite score. Between 2002 and 2014, the mean SDM composite score increased from 4.4 to 5.0 (P <.01), indicating greater patient-perceived SDM. In multivariate modeling, SDM scores were higher for black vs white patients (+0.33 points) and those with a same-race/ ethnicity usual source of care (+0.24 points; both P <.05). Scores were lower for patients with poor-perceived health (−0.41 points), Asian vs white race/ethnicity (−0.28 points), and no insurance (−0.17 points; all P <.05). Improvement efforts should target Americans without a same-race/ethnicity usual source of care and with poor-perceived health.

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Trends in patient-perceived shared decision making among adults in the United States, 2002-2014

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Keywords

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