RT Journal Article SR Electronic T1 Multimorbidity and Decision-Making Preferences Among Older Adults JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 546 OP 551 DO 10.1370/afm.2106 VO 15 IS 6 A1 Chi, Winnie C. A1 Wolff, Jennifer A1 Greer, Raquel A1 Dy, Sydney YR 2017 UL http://www.annfammed.org/content/15/6/546.abstract AB PURPOSE Understanding individuals’ preferences for participating in health care decisions is foundational to delivering person-centered care. We aimed to (1) explore preferences for health care decision making among older adults, and (2) identify multimorbidity profiles associated with preferring less active, ie, passive, participation among older US adults.METHOD Ours was a cross-sectional, nationally representative study of 2,017 National Health and Aging Trends Study respondents. Passive decision-making preference was defined as preferring to leave decisions to physicians. Multimorbidity profiles, based on 13 prevalent chronic conditions, were examined as (1) presence of 2 or more conditions, (2) a simple conditions count, and (3) a condition clusters count. Multiple logistic regression was used with adjustment for age, sex, education, English proficiency, and mobility limitation.RESULTS Most older adults preferred to participate actively in making health care decisions. Older adults with 4 or more conditions, however, and those with multiple condition clusters are relatively less likely to prefer active decision making.CONCLUSIONS Primary care physicians should initiate a shared decision-making process with older adults with 4 or more conditions or multiple condition clusters. Physicians should anticipate variation in decision-making preferences among older adults and adapt a decision-making process that suits individuals’ preferences for participation to ensure person-centered care delivery.