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Self-reported preferences for patient and provider roles in cancer treatment decision-making in the United States

Family Medicine and Community Health 2017年第1期5卷 43-55页

作者： Kiara Spooner Charles Chima Jason L.Salemi Roger J.Zoorob Department of Family and Community Medicine Baylor College of MedicineHoustonTXUSA

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 ***:We conducted a cross-sectional analysis of nationally representative data from the 2014 Health Information National Trends *** statistics were calculated and multi-variable logistic regression was conducted to examine ***: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 *** 7%-8%indicated a preference for a passive role in decision-making,for both low and moderate chances of *** predictors of role prefer-ence for cancer treatment decision-making emerged,including age,sex,education,race/ethnicity,and having a regular health care *** both low and moderate chances of survival,the col-lege 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 ***:Adults’role preference for cancer treatment decision-making may be influenced by sociodemographic and health-related *** awareness of these factors,paired with enhanced patient-provider communication,may assist health care professionals in providing indi-vidualized and high-quality,patient-centered cancer care.

关键词： Cancer treatment decision-making decision-making role preference

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