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  1. Characteristics of physicians with participatory decision-making styles.

    Article - En anglais

    Objectives 

    To identify physician and practice characteristics associated with a physician's propensity to involve patients in diagnostic and treatment decisions, or participatory decision-making style.

    Design 

    A representative cross-sectional sample of patients participating in the Medical Outcomes Study characterized each physician's style by using a self-reported questionnaire.

    A single averaged style score was generated for each physician.

    Style scores were compared among physicians who differed in age, sex, minority status, specialty, primary care training or training in interviewing skills, satisfaction with professional autonomy, and practice volume.

    Settings 

    Solo practices, multispecialty groups, and health maintenance organizations in Boston, Chicago, and Los Angeles.

    Participants 

    7730 patients sampled over 9 days from the practices of 300 physicians.

    Physicians were practicing general internal medicine, family medicine, cardiology, and endocrinology.

    Measurements 

    Participatory decision-making style was measured using a three-item scale on a questionnaire that was completed by patients after their office visit.

    Physician and practice characteristics were reported by physicians on self-administered questionnaires.

    Results 

    Among patients of physicians who were rated in the lowest (least participatory) quartile, one third changed physicians in the following year ; among patients of physicians who were rated in the highest quartile, only 15%...

    Mots-clés Pascal : Relation médecin malade, Communication, Participation, Décision, Influence, Attitude, Homme, Observance

    Mots-clés Pascal anglais : Physician patient relation, Communication, Participation, Decision, Influence, Attitude, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0162085

    Code Inist : 002B30A05. Création : 199608.