Patient Decision Control and the Use of Cardiac Catheterization:

Global Advances in Health and Medicine

Suzanne E.Mitchell¹ 

关键词: Patient decision involvement;    racial disparities;    procedure rates;    preference discordance;    veterans;   

DOI  :  10.7453/gahmj.2015.036

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Shared decision-making is a key determinant of patient-centered care. A lack of patient involvement in treatment decisions may explain persistent racial disparities in rates of cardiac catheterization (CCATH). To date, limited evidence exists to demonstrate whether patients who engage in shared decision-makingare more or less likely to undergo non-emergency CCATH.Objective:To assess the relationship between participation in the decision to undergo a CCATH and the use of CCATH. We also examined whether preference for or actual engagement in decision-making varied by patient race.Methods:We analyzed data from 826 male Veterans Administration patients for whom CCATH was indicated and who participated in the Cardiac Decision Making Study.Results:After controlling for con-founders, patients reporting any degree of decision control were more likely to receive CCATH compared with those reporting no control (doctor made decision without patient input) (54% vs 39%, P<.0001). Across racial groups, patien...

【 授权许可】

CC BY