IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v30y2010i5_supplp85-95.html
   My bibliography  Save this article

Deficits and Variations in Patients’ Experience with Making 9 Common Medical Decisions: The DECISIONS Survey

Author

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

Abstract

Background Although many researchers have examined patient involvement and patient-provider interactions within specific clinical environments, no nationally representative data exist to characterize patient perceptions of decision making and patient-provider communications across multiple common medical decisions. Objective To identify deficits and variations in the patient experience of making common medical decisions about initiation of prescription medications for hypertension, hypercholesterolemia, or depression; screening tests for colorectal, breast, or prostate cancer; and surgeries for knee or hip replacement, cataracts, or lower back pain, as well as to identify factors associated with patient confidence in the decisions. Setting National sample of US adults identified by random-digit dialing. Design Cross-sectional survey conducted from November 2006 to May 2007. Participants Included 2473 English-speaking adults age 40 and older who reported undertaking 1 or more of the above 9 medical actions or discussing doing so with a health care provider within the past 2 years. Measurements Patients reported who initiated discussions and made the final decisions, how much discussion of pros and cons occurred, whether they were asked about their preferences, and their confidence that the decision “was the right one.†Results The proportion of patient-driven decisions varied significantly across decisions (range: blood pressure: 16% to knee/hip replacement: 48%). Most patients (78%–85%) reported that providers made a recommendation, and such recommendations generally favored taking medical action. Fewer patients reported that providers asked them about their preferences (range: colon cancer screening: 34% to knee/hip replacement: 80%) or discussed reasons not to take action (range: breast cancer screening: 20% to lower back surgery: 80%). Decision confidence was higher among patients who reported primarily making the decision themselves (odds ratio [OR] = 14.6, P

Suggested Citation

  • 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.
    • Handle: RePEc:sae:medema:v:30:y:2010:i:5_suppl:p:85-95
    DOI: 10.1177/0272989X10380466
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X10380466
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X10380466?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Michelle M Van Handel & Bernard M Branson, 2015. "Monitoring HIV Testing in the United States: Consequences of Methodology Changes to National Surveys," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-12, April.
    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. 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.
    4. Nicholas Economides & Katja Seim & V. Brian Viard, 2008. "Quantifying the benefits of entry into local phone service," RAND Journal of Economics, RAND Corporation, vol. 39(3), pages 699-730, September.
    5. 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.
    6. 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.
    7. 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.
    8. Sofia Correia & Paulo Dinis & Francisco Rolo & Nuno Lunet, 2010. "Sampling procedures and sample representativeness in a national telephone survey: a Portuguese example," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(4), pages 261-269, August.
    9. 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.
    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.
    11. 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.
    12. 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.
    13. Michael R. Greenberg & Marc D. Weiner, 2014. "Keeping Surveys Valid, Reliable, and Useful: A Tutorial," Risk Analysis, John Wiley & Sons, vol. 34(8), pages 1362-1375, August.
    14. Tammy Henderson & Maria Sirois & Angela Chen & Christopher Airriess & David Swanson & David Banks, 2009. "After a Disaster: Lessons in Survey Methodology from Hurricane Katrina," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 28(1), pages 67-92, February.
    15. Christina J. Diaz & Stephanie M. Koning & Ana P. Martinez-Donate, 2016. "Moving Beyond Salmon Bias: Mexican Return Migration and Health Selection," Demography, Springer;Population Association of America (PAA), vol. 53(6), pages 2005-2030, December.
    16. 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.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:30:y:2010:i:5_suppl:p:85-95. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.