PT  - JOURNAL ARTICLE
AU  - David M. Levine
AU  - Bruce E. Landon
AU  - Jeffrey A. Linder
TI  - Trends in Patient-Perceived Shared Decision Making Among Adults in the United States, 2002–2014
AID  - 10.1370/afm.2132
DP  - 2017 Nov 01
TA  - The Annals of Family Medicine
PG  - 552--556
VI  - 15
IP  - 6
4099  - http://www.annfammed.org/content/15/6/552.short
4100  - http://www.annfammed.org/content/15/6/552.full
SO  - Ann Fam Med2017 Nov 01; 15
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.