What question did this study set out to answer?

To identify physician and practice characteristics associated with a physician's propensity to involve patients in diagnostic and treatment decisions.

March 1, 1996Annals of Internal Medicine

Characteristics of Physicians with Participatory Decision-Making Styles

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Authors

SKSherrie H. KaplanUniversity of California, Irvine

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Implication

Cross-sectional study finds physician training and autonomy increase participatory decision-making, indicating high practice volumes may harm patient satisfaction and retention.

Key Points

To identify physician and practice characteristics associated with a physician's propensity to involve patients in diagnostic and treatment decisions.
Assessed a cross-sectional sample of 7,730 patients across 300 physicians practicing general internal medicine, family medicine, cardiology, and endocrinology in Boston, Chicago, and Los Angeles.
Measured participatory decision-making (PDM) styles using a 3-item post-visit patient questionnaire and collected physician and practice characteristics via self-administered questionnaires.
Patients of physicians in the lowest PDM quartile were more than twice as likely to change physicians within the following year compared to those in the highest quartile (33.3% vs. 15%).
Physicians who received primary care training or interviewing skills training, as well as those satisfied with their professional autonomy, scored significantly higher on the PDM scale.
Physicians managing higher practice volumes received lower participatory style ratings from their patients.

Cite This Study

Sherrie H. Kaplan (1996) studied this question.

synapsesocial.com/papers/6a7cbaf6dd4ac9e48f190f2b https://doi.org/10.7326/0003-4819-124-5-199603010-00007

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Implication

Cross-sectional study finds physician training and autonomy increase participatory decision-making, indicating high practice volumes may harm patient satisfaction and retention.

Characteristics of Physicians with Participatory Decision-Making Styles

Discussion

Member takes

Implication

Key Points

Cite This Study

Characteristics of Physicians with Participatory Decision-Making Styles

Discussion

Member takes

Implication

Key Points

Cite This Study

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