RT Journal Article
SR Electronic
T1 Trends in Patient-Perceived Shared Decision Making Among Adults in the United States, 2002–2014
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 552
OP 556
DO 10.1370/afm.2132
VO 15
IS 6
A1 Levine, David M.
A1 Landon, Bruce E.
A1 Linder, Jeffrey A.
YR 2017
UL http://www.annfammed.org/content/15/6/552.abstract
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.