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The DECISIONS Study: A Nationwide Survey of United States Adults Regarding 9 Common Medical Decisions

Author

Listed:
  • Brian J. Zikmund-Fisher
  • Mick P. Couper
  • Eleanor Singer
  • Carrie A. Levin
  • Floyd J. Fowler Jr.
  • Sonja Ziniel
  • Peter A. Ubel
  • Angela Fagerlin

Abstract

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. Objective To identify decision prevalence and decision-making processes regarding 1) initiation of prescription medications for hypertension, hypercholesterolemia, or depression; 2) screening tests for colorectal, breast, or prostate cancer; and 3) surgeries for knee or hip replacement, cataracts, or lower back pain. Design Computer-assisted telephone interview survey. Setting Nationally representative sample of US adults in households with telephones. Participants 3010 English-speaking adults age 40 and older identified using a stratified random sample of telephone numbers. Measurements Estimated prevalence of medical decisions, defined as the patient having initiated medications, been screened, or had surgery within the past 2 years or having discussed these actions with a health care provider during the same interval, as well as decision-specific data regarding patient knowledge, attitudes and patient-provider interactions. Results 82.2% of the target population reported making at least 1 medical decision in the preceding 2 years. The proportion of decisions resulting in patient action varied dramatically both across decision type (medications [61 %] v. screening [83%] v. surgery [44%]; P

Suggested Citation

  • Brian J. Zikmund-Fisher & Mick P. Couper & Eleanor Singer & Carrie A. Levin & Floyd J. Fowler Jr. & Sonja Ziniel & Peter A. Ubel & Angela Fagerlin, 2010. "The DECISIONS Study: A Nationwide Survey of United States Adults Regarding 9 Common Medical Decisions," Medical Decision Making, , vol. 30(5_suppl), pages 20-34, September.
  • Handle: RePEc:sae:medema:v:30:y:2010:i:5_suppl:p:20-34
    DOI: 10.1177/0272989X09353792
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    References listed on IDEAS

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    1. Angela Fagerlin & Karen R. Sepucha & Mick P. Couper & Carrie A. Levin & Eleanor Singer & Brian J. Zikmund-Fisher, 2010. "Patients’ Knowledge about 9 Common Health Conditions: The DECISIONS Survey," Medical Decision Making, , vol. 30(5_suppl), pages 35-52, September.
    2. Mick P. Couper & Eleanor Singer & Carrie A. Levin & Floyd J. Fowler Jr. & Angela Fagerlin & Brian J. Zikmund-Fisher, 2010. "Use of the Internet and Ratings of Information Sources for Medical Decisions: Results from the DECISIONS Survey," Medical Decision Making, , vol. 30(5_suppl), pages 106-114, September.
    3. Amanda J. Dillard & Mick P. Couper & Brian J. Zikmund-Fisher, 2010. "Perceived Risk of Cancer and Patient Reports of Participation in Decisions about Screening: The DECISIONS Study," Medical Decision Making, , vol. 30(5_suppl), pages 96-105, September.
    4. Karen R. Sepucha & Angela Fagerlin & Mick P. Couper & Carrie A. Levin & Eleanor Singer & Brian J. Zikmund-Fisher, 2010. "How Does Feeling Informed Relate to Being Informed? The DECISIONS Survey," Medical Decision Making, , vol. 30(5_suppl), pages 77-84, September.
    5. Blumberg, S.J. & Luke, J.V. & Cynamon, M.L., 2006. "Telephone coverage and health survey estimates: Evaluating the need for concern about wireless substitution," American Journal of Public Health, American Public Health Association, vol. 96(5), pages 926-931.
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    1. Josephine Mwendia Njagi & Samuel Muli Muli, 2020. "Influence of Supply Chain Integration Practices on thePerformance ofManufacturing Firms inKenya aCase ofKenya Breweries Limited," International Journal of Business and Social Research, LAR Center Press, vol. 10(1), pages 35-57, January.
    2. Fanni Rencz & Béla Tamási & Valentin Brodszky & László Gulácsi & Miklós Weszl & Márta Péntek, 2019. "Validity and reliability of the 9-item Shared Decision Making Questionnaire (SDM-Q-9) in a national survey in Hungary," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(1), pages 43-55, June.
    3. Neda Ratanawongsa & Brian J. Zikmund-Fisher & Mick P. Couper & John Van Hoewyk & Neil R. Powe, 2010. "Race, Ethnicity, and Shared Decision Making for Hyperlipidemia and Hypertension Treatment: The DECISIONS Survey," Medical Decision Making, , vol. 30(5_suppl), pages 65-76, September.
    4. Karen R. Sepucha & Angela Fagerlin & Mick P. Couper & Carrie A. Levin & Eleanor Singer & Brian J. Zikmund-Fisher, 2010. "How Does Feeling Informed Relate to Being Informed? The DECISIONS Survey," Medical Decision Making, , vol. 30(5_suppl), pages 77-84, September.
    5. Peder A. Halvorsen, 2010. "What Information Do Patients Need to Make a Medical Decision?," Medical Decision Making, , vol. 30(5_suppl), pages 11-13, September.
    6. Brian J. Zikmund-Fisher & Mick P. Couper & Eleanor Singer & Peter A. Ubel & Sonja Ziniel & Floyd J. Fowler Jr. & Carrie A. Levin & Angela Fagerlin, 2010. "Deficits and Variations in Patients’ Experience with Making 9 Common Medical Decisions: The DECISIONS Survey," Medical Decision Making, , vol. 30(5_suppl), pages 85-95, September.
    7. Angela Fagerlin & Karen R. Sepucha & Mick P. Couper & Carrie A. Levin & Eleanor Singer & Brian J. Zikmund-Fisher, 2010. "Patients’ Knowledge about 9 Common Health Conditions: The DECISIONS Survey," Medical Decision Making, , vol. 30(5_suppl), pages 35-52, September.
    8. Richard M. Hoffman & Carmen L. Lewis & Michael P. Pignone & Mick P. Couper & Michael J. Barry & Joann G. Elmore & Carrie A. Levin & John Van Hoewyk & Brian J. Zikmund-Fisher, 2010. "Decision-Making Processes for Breast, Colorectal, and Prostate Cancer Screening: The DECISIONS Survey," Medical Decision Making, , vol. 30(5_suppl), pages 53-64, September.
    9. Amanda J. Dillard & Mick P. Couper & Brian J. Zikmund-Fisher, 2010. "Perceived Risk of Cancer and Patient Reports of Participation in Decisions about Screening: The DECISIONS Study," Medical Decision Making, , vol. 30(5_suppl), pages 96-105, September.
    10. Josephine Mwendia Njagi & Samuel Muli Muli, 2020. "Influence of Supply Chain Integration Practices on thePerformance ofManufacturing Firms inKenya aCase ofKenya Breweries Limited," International Journal of Business and Social Research, MIR Center for Socio-Economic Research, vol. 10(1), pages 35-57, January.

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