Patient-Provider Discussions about Colorectal Cancer Screening: Who Initiates Elements of Informed Decision Making?
Patient-Provider Discussions about Colorectal Cancer Screening: Who Initiates Elements of Informed Decision Making?
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DOI：
10.1007/s11606-012-2045-1
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发表时间：
2012-09-01
影响因子：
5.7
通讯作者：
Paskett, Electra D.
中科院分区：
文献类型：
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作者：
Katz, Mira L.;Broder-Oldach, Ben;Paskett, Electra D.
低收入少数群体中结直肠癌 (CRC) 筛查率仍然较低。旨在评估低收入少数群体患者中有关 CRC 筛查的知情决策 (IDM) 要素。作为患者水平随机对照试验的一部分收集观察数据，以提高 CRC 筛查率。对就诊（2007 年 11 月至 2010 年 5 月）进行录音并针对有关 CRC 筛查的 IDM 元素进行编码。研究临近结束时，一名提供者拒绝记录患者的就诊情况（270 名患者中的 33 名）。在参与试验的所有患者中，同意录音的比例为 43.5% (103/237)。对可评估患者 (n = 100) 就诊进行了 CRC 筛查讨论发生情况、IDM 要素以及谁发起每个 IDM 要素讨论的评估。患者为非裔美国人 (72.2 %)、女性 (63.7 %)，家庭年收入较高
Colorectal cancer (CRC) screening rates remain low among low-income minority populations.To evaluate informed decision making (IDM) elements about CRC screening among low-income minority patients.Observational data were collected as part of a patient-level randomized controlled trial to improve CRC screening rates. Medical visits (November 2007 to May 2010) were audio-taped and coded for IDM elements about CRC screening. Near the end of the study one provider refused recording of patients' visits (33 of 270 patients). Among all patients in the trial, agreement to be audio taped was 43.5 % (103/237). Evaluable patient (n = 100) visits were assessed for CRC screening discussion occurrence, IDM elements, and who initiated discussion of each IDM element.Patients were African American (72.2 %), female (63.7 %), with annual household incomes