Self-reported preferences for patient and provider roles in cancer treatment decision-making 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: Adults’ 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.
Document Type: Research Article
Publication date: May 1, 2017
This article was made available online on April 28, 2017 as a Fast Track article with title: "Self-reported preferences for patient and provider roles in cancer treatment decision-making in the United States".
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