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Patient Educ Couns. 2012 Jul;88(1):100-5. doi: 10.1016/j.pec.2012.02.010. Epub 2012 Mar 11.

Shared decision making and other variables as correlates of satisfaction with health care decisions in a United States national survey.

Author information

1
The Ohio State University, Columbus 43210, USA. glass.114@osu.edu

Abstract

OBJECTIVE:

The purpose of this study was to examine the relationship between shared decision-making (SDM) and satisfaction with decision (SWD) within a larger survey of patient decision-making in health care consultations.

METHODS:

A randomly selected age-proportionate national sample of adults (aged 21-70 years) stratified on race, ethnicity, and gender (N=488) was recruited from a health research volunteer registry and completed an online survey with reference to a recent health consultation. Measures included the shared decision making-9 questionnaire (SDM-Q-9), Satisfaction With Decision (SWD) scale, sociodemographic, health, and other standardized decision-making measures. Forward selection weighted multiple regression analysis was used to model correlates of SWD.

RESULTS:

After controlling for sociodemographic variables, SDM-Q-9 total score was associated with SWD, adjusted R(2)=.368, p<.001. Three of nine SDM-Q-9 items accounted for significant proportions of variance in SWD.

CONCLUSION:

SDM was positively associated with SWD and was strongest for three areas of SDM: patients being helped in a health care consultation with understanding information, with treatment preference elicitation, and with weighing options thoroughly.

PRACTICE IMPLICATIONS:

By identifying variables such as SDM that are associated with SWD, health care interventions can better target modifiable factors to enhance satisfaction and other outcomes.

PMID:
22410642
PMCID:
PMC3492880
DOI:
10.1016/j.pec.2012.02.010
[Indexed for MEDLINE]
Free PMC Article

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