Factors influencing patients' receptiveness to evidence-based recommendations during the clinical encounter.
OBJECTIVE
To identify the factors that promote or interfere with evidence-based clinical decisions from the patient perspective.


METHODS
We developed four hypothetical scenarios with clinical decisions, such as whether to pursue testing for a chronic condition. We conducted eight focus groups to better understand the influences on individuals' decisions in the context of the scenarios.


RESULTS
A patient's relationship with a physician emerged as the strongest influence on whether participants would accept or reject a physician's recommendation. Various patient characteristics and a patient's financial capacity were also important influences.


CONCLUSIONS
Our findings point to the potential for interventions that improve communications and relationships between physicians and patients to promote evidence-based care.
Mathematica Policy Research, P.O. Box 2393, Princeton, NJ 08543, USA.
Cara
C
Stepanczuk
Mathematica Policy Research, 1100 1st Street, NE, 12th Floor, Washington, DC 20002, USA.
Nyna
N
Williams
Mathematica Policy Research, 1100 1st Street, NE, 12th Floor, Washington, DC 20002, USA.
Katie
K
Morrison
Mathematica Policy Research, 1100 1st Street, NE, 12th Floor, Washington, DC 20002, USA.
Charlene
C
Kemmerer
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D000066491:Clinical Decision-Making / Q000379:methods*; D004219:District of Columbia; D019317:Evidence-Based Medicine / Q000379:methods*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations
Choosing Wisely®; evidence-based medicine; healthcare decision-making; informed decision-making; patient trust