DO PATIENTS GET WHAT THEY WANT: STABILITY OF PREFERENCES BEFORE AND FOLLOWING A PHYSICIAN VISIT (original) (raw)

Abstract

Purpose: The current study tested whether having access to a decision aid prior to physician consultation resulted in stable treatment preferences. Method: 1,023 patients presenting to one of four VAs for a prostate cancer biopsy completed baseline measures and were randomized to receive 1 of 2 decision aids. 244 patients diagnosed with prostate cancer completed 2 additional surveys (73% response rate). Time 2 occurred after they had read their decision aid but just prior to receiving their diagnosis. Patients were re-interviewed 1 week later (Time 3), which was following their diagnosis. Electronic medical records were used to determine the treatment patients received. Surveys included measures of treatment preference, literacy, patients’ perceptions of their physicians recommendations and their communication with their physician. Result: Patients’ preferences for treatment from before they saw their doctor (Time 2) and 1 week later (Time 3) changed significantly: 39% of patients w...

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