• Annals of family medicine · Nov 2017

    Trends in Patient-Perceived Shared Decision Making Among Adults in the United States, 2002-2014.

    • David M Levine, Bruce E Landon, and Jeffrey A Linder.
    • Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts dmlevine@partners.org.
    • Ann Fam Med. 2017 Nov 1; 15 (6): 552-556.

    AbstractTo 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.© 2017 Annals of Family Medicine, Inc.

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