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Peek ME, Drum M, Cooper LA. The Association of Patient Chronic Disease Burden and Self-Management Requirements With Shared Decision Making in Primary Care Visits. Health Serv Res Manag Epidemiol. 2014;1doi: 10.1177/2333392814538775.
Peek, M. E., Drum, M., & Cooper, L. A. (2014). The Association of Patient Chronic Disease Burden and Self-Management Requirements With Shared Decision Making in Primary Care Visits. Health services research and managerial epidemiology, 1. https://doi.org/10.1177/2333392814538775
Peek, Monica E, et al. "The Association of Patient Chronic Disease Burden and Self-Management Requirements With Shared Decision Making in Primary Care Visits." Health services research and managerial epidemiology vol. 1 (2014). doi: https://doi.org/10.1177/2333392814538775
Peek ME, Drum M, Cooper LA. The Association of Patient Chronic Disease Burden and Self-Management Requirements With Shared Decision Making in Primary Care Visits. Health Serv Res Manag Epidemiol. 2014 Jan;1. doi: 10.1177/2333392814538775. Epub 2014 Jun 17. PMID: 26640812; PMCID: PMC4670035.
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Health Serv Res Manag Epidemiol. 2014 Jan;1. doi: 10.1177/2333392814538775. Epub 2014 Jun 17.

The Association of Patient Chronic Disease Burden and Self-Management Requirements With Shared Decision Making in Primary Care Visits.

Health services research and managerial epidemiology

Monica E Peek, Melinda Drum, Lisa A Cooper

Affiliations

  1. Department of Medicine, Section of General Internal Medicine, University of Chicago, Chicago, IL, USA ; Chicago Center for Diabetes Translation Research, University of Chicago, Chicago, IL, USA ; Center for Health and Social Sciences, University of Chicago, Chicago, IL, USA ; Center for the Study of Race, Politics and Culture, University of Chicago, Chicago, IL, USA ; Bucksbaum Institute for Clinical Excellence, University of Chicago, Chicago, IL, USA.
  2. Chicago Center for Diabetes Translation Research, University of Chicago, Chicago, IL, USA ; Department of Health Studies, University of Chicago, Chicago, IL, USA.
  3. Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA ; Department of Epidemiology and Health Policy & Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA ; Department of Medicine, Section of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA ; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA.

PMID: 26640812 PMCID: PMC4670035 DOI: 10.1177/2333392814538775

Abstract

BACKGROUND: Shared decision making (SDM) is associated with positive health outcomes and may be particularly relevant for patients with chronic disease.

OBJECTIVES: To investigate whether (1) patients with chronic diseases, particularly those requiring self-management, are more likely to engage in SDM behaviors than patients without chronic diseases and (2) patients with chronic diseases are more likely to have their

DESIGN: A cross-sectional study of patients who were enrolled in a randomized controlled trial to improve patient-physician communication.

PARTICIPANTS: Adult patients with hypertension at community health clinics in Baltimore, Maryland.

APPROACH: We used multivariable regression models to examine the associations of the following predictor variables: (1) chronic disease burden and (2) diseases requiring self-management with the following outcome variables measuring SDM components: (1) patient information sharing, (2) patient decision making, and (3) physician SDM facilitation.

KEY RESULTS: Patients with greater chronic disease burden and more diseases requiring self-management reported more information sharing (β = .07,

CONCLUSIONS: Patients with chronic diseases, particularly those requiring self-management, may be more likely to engage in SDM behaviors, but physicians may not be more likely to engage such patients in SDM. Targeting patients with chronic disease for SDM may improve health outcomes among the chronically ill, particularly among vulnerable patients (eg, minorities, low-income patients) who suffer disproportionately from such conditions.

Keywords: chronic diseases; patient self-management; patient/provider communication; shared decision making

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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