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首页> 外文期刊>Journal of health communication >Perceptions About Collaborative Decisions: Perceived Provider Effectiveness Among 2003 and 2007 Health Information National Trends Survey (HINTS) Respondents
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Perceptions About Collaborative Decisions: Perceived Provider Effectiveness Among 2003 and 2007 Health Information National Trends Survey (HINTS) Respondents

机译：对协作决策的看法：2003年和2007年间在卫生信息国家趋势调查（HINTS）受访者中对提供者有效性的感知

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摘要

Patient-provider communication is an important element in cancer treatment and prevention. We examined the degree of concordance perceived to exist between the patient's preferences for inclusion in decision-making processes and their actual experiences among two population-based cohorts of U. S. adults with and without cancer histories who were surveyed in 2003 and 2007. Associations were examined between selected sociodemographic characteristics of respondents and the extent to which respondents perceived their health providers "always" involved them in decisions about their health to the extent desired. Data came from the Health Information National Trends Survey (HINTS), and SPSS and SAS-Callable SUDAAN statistical packages were used to analyze the data. Results showed a decrement in the proportion of favorable responses between 2003 and 2007. While there was no gender effect on the reported perceptions in either year, there was a significant effect of ethnicity (p = .001) in both years. Age, income, and employment were also independently associated (p = .001) in 2007. In contrast to 2003, higher education was significantly associated with communication satisfaction, as was having a cancer diagnosis, in 2007. There was a significant relationship between several sociodemographic variables and respondent perceptions about the consistency with which providers included patients as desired in decision-making. We conclude that communication between patient and provider remains suboptimal in cancer prevention and treatment.
机译：医患沟通是癌症治疗和预防中的重要元素。我们研究了在2003年和2007年接受调查的两个有或没有癌症病史的美国成年人口人群中，患者参与决策过程的偏好与他们的实际经历之间的一致程度。受访者的特定社会人口统计学特征，以及受访者认为自己的医疗提供者“总是”在多大程度上使他们参与了有关他们的健康的决策。数据来自《健康信息国家趋势调查》（HINTS），并使用SPSS和SAS-Callable SUDAAN统计软件包对数据进行了分析。结果表明，在2003年至2007年之间，良好反应的比例有所下降。尽管在任何一年中，对报告的知觉都没有性别影响，但在两个年度中，种族差异均显着（p = .001）。 2007年，年龄，收入和就业也独立相关（p = .001）。与2003年相比，高等教育与沟通满意度显着相关，在2007年进行癌症诊断也是如此。社会人口统计学变量和受访者对医疗服务提供者在决策中包括患者的一致性的看法。我们得出的结论是，在癌症的预防和治疗中，患者与提供者之间的沟通仍然欠佳。

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