IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v31y2011i3p422-431.html
   My bibliography  Save this article

Are There Racial Differences in Patients’ Shared Decision-Making Preferences and Behaviors among Patients with Diabetes?

Author

Listed:
  • Monica E. Peek
  • Hui Tang
  • Algernon Cargill
  • Marshall H. Chin

Abstract

Background . In the United States, African Americans are more likely to experience lower quality patient/provider communication and less shared decision making (SDM) than whites, which may be an important contributor to racial health disparities. Patient factors have not been fully explored as a potential contributor to communication disparities. Methods . The authors analyzed cross-sectional data from a survey of 974 patients with diabetes seen at 34 community health centers (HC) in 17 midwestern and west-central states. They used ordinal and logistic regression models to investigate racial differences in patients’ preferences for SDM and in patients’ behaviors that may facilitate SDM (initiating discussions about diabetes care). Results . The response rate was 67%. In bivariate and multivariate analyses, race was not associated with patient preference for a shared role in the 3 measured SDM domains: agenda setting (odds ratio [OR]: 1.13 [0.86, 1.49]), information sharing (OR: 1.26 [0.97, 1.64]), or decision making (OR: 1.16 [0.85, 1.59]). African Americans were more likely to report initiating discussions with their physicians about 4 of 6 areas of diabetes care—blood pressure measurement (66% v. 52%, P

Suggested Citation

  • Monica E. Peek & Hui Tang & Algernon Cargill & Marshall H. Chin, 2011. "Are There Racial Differences in Patients’ Shared Decision-Making Preferences and Behaviors among Patients with Diabetes?," Medical Decision Making, , vol. 31(3), pages 422-431, May.
    • Handle: RePEc:sae:medema:v:31:y:2011:i:3:p:422-431
    DOI: 10.1177/0272989X10384739
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X10384739
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X10384739?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. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1999. "Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model," Social Science & Medicine, Elsevier, vol. 49(5), pages 651-661, September.
    2. O'Malley, M.S. & Earp, J.A.L. & Hawley, S.T. & Schell, M.J. & Mathews, H.F. & Mitchell, J., 2001. "The association of race/ethnicity, socioeconomic status, and physician recommendation for mammography: Who gets the message about breast cancer screening?," American Journal of Public Health, American Public Health Association, vol. 91(1), pages 49-54.
    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. Karnieli-Miller, Orit & Eisikovits, Zvi, 2009. "Physician as partner or salesman? Shared decision-making in real-time encounters," Social Science & Medicine, Elsevier, vol. 69(1), pages 1-8, July.
    2. Paul C. Schroy III & Karen Emmons & Ellen Peters & Julie T. Glick & Patricia A. Robinson & Maria A. Lydotes & Shamini Mylvanaman & Stephen Evans & Christine Chaisson & Michael Pignone & Marianne Prout, 2011. "The Impact of a Novel Computer-Based Decision Aid on Shared Decision Making for Colorectal Cancer Screening," Medical Decision Making, , vol. 31(1), pages 93-107, January.
    3. Jaime Moore & Matthew Haemer & Nazrat Mirza & Ying Z Weatherall & Joan Han & Caren Mangarelli & Mary Jane Hawkins & Stavra Xanthakos & Robert Siegel, 2019. "Pilot Testing of a Patient Decision Aid for Adolescents with Severe Obesity in US Pediatric Weight Management Programs within the COMPASS Network," IJERPH, MDPI, vol. 16(10), pages 1-12, May.
    4. Kevin Mertz & Romil F. Shah & Sara L. Eppler & Jeffrey Yao & Marc Safran & Ariel Palanca & Serena S. Hu & Michael Gardner & Derek F. Amanatullah & Robin N. Kamal, 2020. "A Simple Goal Elicitation Tool Improves Shared Decision Making in Outpatient Orthopedic Surgery: A Randomized Controlled Trial," Medical Decision Making, , vol. 40(6), pages 766-773, August.
    5. Sarah-Maude Deschênes & Marie-Pierre Gagnon & France Légaré & Annie Lapointe & Stéphane Turcotte & Sophie Desroches, 2013. "Psychosocial Factors of Dietitians' Intentions to Adopt Shared Decision Making Behaviours: A Cross-Sectional Survey," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-7, May.
    6. Lee, Yin-Yang & Lin, Julia L., 2010. "Do patient autonomy preferences matter? Linking patient-centered care to patient-physician relationships and health outcomes," Social Science & Medicine, Elsevier, vol. 71(10), pages 1811-1818, November.
    7. Coast, Joanna, 2018. "A history that goes hand in hand: Reflections on the development of health economics and the role played by Social Science & Medicine, 1967–2017," Social Science & Medicine, Elsevier, vol. 196(C), pages 227-232.
    8. Underman, Kelly & Hirshfield, Laura E., 2016. "Detached concern?: Emotional socialization in twenty-first century medical education," Social Science & Medicine, Elsevier, vol. 160(C), pages 94-101.
    9. Carla Brailey & Brittany C. Slatton, 2024. "Centering Black Women’s Voices: Illuminating Systemic Racism in Maternal Healthcare Experiences," Societies, MDPI, vol. 14(5), pages 1-12, May.
    10. K. D. Valentine & Ha Vo & Floyd J. Fowler Jr. & Suzanne Brodney & Michael J. Barry & Karen R. Sepucha, 2021. "Development and Evaluation of the Shared Decision Making Process Scale: A Short Patient-Reported Measure," Medical Decision Making, , vol. 41(2), pages 108-119, February.
    11. Tate, Alexandra, 2020. "Invoking death: How oncologists discuss a deadly outcome," Social Science & Medicine, Elsevier, vol. 246(C).
    12. Wirtz, Veronika & Cribb, Alan & Barber, Nick, 2006. "Patient-doctor decision-making about treatment within the consultation--A critical analysis of models," Social Science & Medicine, Elsevier, vol. 62(1), pages 116-124, January.
    13. Kirsten J. McCaffery & Sian K. Smith & Michael Wolf, 2010. "The Challenge of Shared Decision Making Among Patients With Lower Literacy: A Framework for Research and Development," Medical Decision Making, , vol. 30(1), pages 35-44, January.
    14. Dyer, Thomas Anthony & Owens, Janine & Robinson, Peter Glenn, 2014. "The acceptability of care delegation in skill-mix: The salience of trust," Health Policy, Elsevier, vol. 117(2), pages 170-178.
    15. Pamela B. Peele & Laura A. Siminoff & Ying Xu & Peter M. Ravdin, 2005. "Decreased Use of Adjuvant Breast Cancer Therapy in a Randomized Controlled Trial of a Decision Aid with Individualized Risk Information," Medical Decision Making, , vol. 25(3), pages 301-307, May.
    16. Missinne, Sarah & Bracke, Piet, 2015. "A cross-national comparative study on the influence of individual life course factors on mammography screening," Health Policy, Elsevier, vol. 119(6), pages 709-719.
    17. Shosh Shahrabani & Amiram Gafni & Uri Ben-Zion, 2008. "Low Flu Shot Rates Puzzle—Some Plausible Behavioral Explanations," The American Economist, Sage Publications, vol. 52(1), pages 66-72, March.
    18. 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.
    19. Peek, Monica E. & Odoms-Young, Angela & Quinn, Michael T. & Gorawara-Bhat, Rita & Wilson, Shannon C. & Chin, Marshall H., 2010. "Race and shared decision-making: Perspectives of African-Americans with diabetes," Social Science & Medicine, Elsevier, vol. 71(1), pages 1-9, July.
    20. May, Carl, 2013. "Agency and implementation: Understanding the embedding of healthcare innovations in practice," Social Science & Medicine, Elsevier, vol. 78(C), pages 26-33.

    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:31:y:2011:i:3:p:422-431. 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.