Right Place, Right Time, Right Care: Patient satisfaction with shared decision making linked to perceived respect, better medication adherence
Chris Duke
Altarum Institute
Dr. Christopher Duke is Director of Altarum Institute’s Center for Consumer Choice in Health Care. As a social psychologist, he focuses on drivers of health, access to care, and health care consumerism. His research focuses on health care access for disadvantaged populations, patient engagement, and patient satisfactionDr. Duke was the consumer research lead for the Right Place, Right Time project, funded by the Robert Wood Johnson Foundation (RWJF). Through consumer interviews, focus groups, and a national survey, this project identified how vulnerable consumers seek, understand, and use health care information. Dr. Duke also helped develop the ACE Measure, used to understand patient engagement and predict health outcomes. Dr. Duke has conducted health care research for RWJF, the Centers for Disease Control and Prevention (CDC), Department of Defense (DoD), Department of Veterans Affairs (VA), and others.
Abstract
Introduction – An emerging consensus suggests that shared decision making (SDM) can lead to more engaged patients, improved patient-provider relationships, and a substantial reduction in low value care. Using a nationally... [ view full abstract ]
Introduction – An emerging consensus suggests that shared decision making (SDM) can lead to more engaged patients, improved patient-provider relationships, and a substantial reduction in low value care. Using a nationally representative sample of American healthcare consumers we examined the links between SDM, perceived respect, and adherence to physician recommendations.
Methods – Data was drawn from the Right Place, Right Time study, a nationally representative survey of 4,068 participants, that focused on patients’ strategies for gathering health information and health care decision making. The survey was administered via Web and mail and included questions about shared decision making, trust, feeling respected by providers, and management of general health and chronic conditions.
Results – 91% of patients satisfied with SDM felt respected by their doctor, while only 41% of patients dissatisfied with SDM felt respected by their doctor (regression f=824; r2adj=.20, p < .001). Participants that were uninsured, lower income or less healthy were more likely to report being dissatisfied with SDM and feeling disrespected by physicians than their counterparts. Participants who felt disrespected by physicians were more likely to distrust physicians as sources of accurate information (49% vs 15%, p < .001) or well-intentioned (51% vs 17%, p < .001). Patients who felt disrespected were twice as likely to not take medication as prescribed (13% vs 25%, p < .001).
Discussion – When patients were satisfied with SDM, they were more likely to feel respected by their doctors and more likely to be adherent in taking their medication. Shared decision making may positively impact either adherence to medical instructions, or acceptance of guidance such as watchful waiting, and reduction of low value care.
Authors
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Chris Duke
(Altarum Institute)
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Christine Stanik
(Altarum Institute)
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Beth Beaudin-Seiler
(Altarum Institute)
Topic Area
Shared decision making and patient-reported outcomes
Session
AS-2B » Abstract Slams: Shared-Decision Making (13:30 - Friday, 5th May, Salons 6, 7, & 8)
Presentation Files
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