Agnes Z. Dardas|Christopher Stockburger|Sean Boone|Tonya An|Ryan P. Calfee
Preferences for Shared Decision Making in Older Adult Patients With Orthopedic Hand Conditions
Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis
h3purposeh3 practice medicine shifting paternalistic doctorpatient relationship model doctor patient collaborate decide optimal treatment study aims determine whether older orthopedic population desires shared decisionmaking approach care identify patient predictors preferred type approach h3methodsh3 crosssectional investigation enrolled 99 patients minimum age 65 years tertiary hand specialty practice march june 2015 patients completed control preferences scale validated system distinguishes among patient preferences patientdirected collaborative physiciandirected decision making bivariate logistic regression analyses assessed associations among demographic data clinic encounter variables familiarity provider trauma diagnosis treatment decision primary outcome control preferences scale preferences h3resultsh3 total 81 patients analyzed preferred patientdirected role decision making 46 total cohort cited collaborative approach preferred treatment approach sixtyseven percent cited physiciandirected approach least preferred model decision making addition 49 reported spending time physician address questions explain diagnosis would useful making health care decision 73 preferred additional written informational material familiarity provider associated likely prefer collaborative approach h3conclusionsh3 older adult patients symptomatic upperextremity conditions desire patientdirected roles treatment decision making given limited amount reliable information obtained independently outside office visit data suggest written decision aids offer approach shared decision making consistent preferences older orthopedic patient h3clinical relevanceh3 study quantifies older adults desire participate decision making choosing among treatments hand conditions