title: Perceptions about collaborative decisions: perceived provider effectiveness among 2003 and 2007 Health Information National Trends Survey (HINTS) respondents.
abstract: Patient-provider communication is an important element in cancer treatment and prevention. We examined the degree of concordance perceived to exist between the patient's preferences for inclusion in decision-making processes and their actual experiences among two population-based cohorts of U.S. adults with and without cancer histories who were surveyed in 2003 and 2007. Associations were examined between selected sociodemographic characteristics of respondents and the extent to which respondents perceived their health providers "always" involved them in decisions about their health to the extent desired. Data came from the Health Information National Trends Survey (HINTS), and SPSS and SAS-Callable SUDAAN statistical packages were used to analyze the data. Results showed a decrement in the proportion of favorable responses between 2003 and 2007. While there was no gender effect on the reported perceptions in either year, there was a significant effect of ethnicity (p = .001) in both years. Age, income, and employment were also independently associated (p = .001) in 2007. In contrast to 2003, higher education was significantly associated with communication satisfaction, as was having a cancer diagnosis, in 2007. There was a significant relationship between several sociodemographic variables and respondent perceptions about the consistency with which providers included patients as desired in decision-making. We conclude that communication between patient and provider remains suboptimal in cancer prevention and treatment.
authors.affiliation: City University of New York and Columbia University, Department of Health and Behavior Studies, Teachers College, 525W 120 St., New York, NY 10027, USA. rm226@columbia.edu
authors.forename: Ray
authors.initials: R
authors.lastname: Marks
authors.forename: Haean
authors.initials: H
authors.lastname: Ok
authors.forename: Hyojee
authors.initials: H
authors.lastname: Joung
authors.forename: John P
authors.initials: JP
authors.lastname: Allegrante
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health / Q000208:ethnology; D015331:Cohort Studies; D003657:Decision Making; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D058015:Health Communication / Q000639:trends*; D006306:Health Surveys; D040361:Healthy People Programs; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D010358:Patient Participation / Q000523:psychology* / Q000639:trends; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult