Physician-Patient Interaction and Hysterectomy Decision Making: The ENDOW Study

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Abstract:

Objective: To investigate physician-patient communication in the context of hysterectomy decision making. Methods: A series of 17 focus groups with African American and white women (n=82) between the ages of 30 and 65 were run. Personal interviews with physicians (n=7) also were conducted. Transcripts were analyzed using NUD*IST software and note-based techniques. Results: For both patients and physicians, the optimal physician-patient interaction would be for the physician to provide plain, usable information to the patient allowing the patient to make the hysterectomy decision. Conclusions: The current state of physician-patient interaction represents collaboration but not a shared approach approximating the deliberative model.

Document Type: Research Article

DOI: http://dx.doi.org/10.5993/AJHB.26.6.4

Affiliations: 1: Norman J. Arnold School of Public Health, University of South Carolina School of Medicine, Columbia, SC 2: University of San Francisco, San Francisco, CA. 3: Department of Health Promotion, Education and Behavior, Norman J. Arnold School of Public Health, University of South Carolina School of Medicine, Columbia, SC 4: Department of Biostatistics and Epidemiology, Norman J. Arnold School of Public Health, University of South Carolina School of Medicine, Columbia, SC 5: Department of Health Promotion, Education, and Behavior, Norman J. Arnold School of Public Health, University of South Carolina School of Medicine, Columbia, SC 6: Geriatric Education, Division of Geriatrics, Department of Medicine, University of South Carolina School of Medicine, Columbia, SC.

Publication date: November 1, 2002

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.
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