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- Title
Self-reported preferences for patient and provider roles in cancer treatment decision-making in the United States.
- Authors
Spooner, Kiara; Chima, Charles; Salemi, L. Jason; Zoorob, J. Roger
- Abstract
Objective: To describe differences in preferred roles in cancer treatment decision-making and identify associated sociodemographic and health-related factors among adults in the United States. Methods: We conducted a cross-sectional analysis of nationally representative data from the 2014 Health Information National Trends Survey. Descriptive statistics were calculated and multivariable logistic regression was conducted to examine associations. Results: Half (48.3%) of respondents preferred a collaborative role in decision-making under the supposition of a moderate chance of survival; while 53.4% preferred a more active role when the chance of survival was low. Approximately 7%-8% indicated a preference for a passive role in decision-making, for both low and moderate chances of survival. Several predictors of role preference for cancer treatment decision-making emerged, including age, sex, education, race/ethnicity and having a regular health care provider. At both low and moderate chances of survival, the college educated were less likely to prefer a passive role, whereas Hispanics were two to three times more likely than whites to indicate a preference for a passive role. Conclusion: Adult's role preference for cancer treatment decision-making may be influenced by sociodemographic and health-related factors. Increased awareness of these factors, paired with enhanced patient-provider communication, may assist health care professionals in providing individualized and high-quality, patient-centered cancer care.
- Subjects
UNITED States; CANCER treatment; MEDICAL decision making; MEDICAL care
- Publication
Family Medicine & Community Health, 2017, Vol 5, Issue 1, p43
- ISSN
2305-6983
- Publication type
Article
- DOI
10.15212/FMCH.2017.0102