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Shared decision-making in psoriasis care: Evaluation of how patients’ perception of clinicians’ delivery of care changes by age and sex

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Listed:
  • Robin Kikuchi
  • Paige Kingston
  • Audrey Hao
  • Kaviyon Sadrolashrafi
  • Rebecca K Yamamoto
  • Hannah Tolson
  • Sara N Bilimoria
  • Lily Guo
  • Danielle Yee
  • Maria T Ochoa
  • April W Armstrong

Abstract

Background: Shared decision-making (SDM) refers to a collaborative process in which clinicians assist patients in making medically informed, evidence-based decisions that align with their values and preferences. There is a paucity of literature on SDM in dermatology. Objective: We aim to assess whether male and female psoriasis patients evaluate their clinicians’ engagement in SDM differently across different age groups. Methods: Cross-sectional study using data from the 2014–2017 and 2019 Medical Expenditure Panel Surveys (MEPS). Results: A weighted total of 7,795,608 psoriasis patients were identified. SDM Scores ranged from 1 to 4, with 4 representing the most favorable patient evaluation of their clinicians’ engagement in SDM. We conducted multivariate linear regression to compare mean SDM Scores in male psoriasis patients versus female psoriasis patients across different patient age groups. Female patients ages 60–69 perceived significantly greater clinician engagement in SDM compared to age-matched male patients (female patient perception of SDM 3.65 [95%CI:3.61–3.69] vs. male patient perception of SDM 3.50 [95%CI:3.43–3.58], p 70 (p

Suggested Citation

  • Robin Kikuchi & Paige Kingston & Audrey Hao & Kaviyon Sadrolashrafi & Rebecca K Yamamoto & Hannah Tolson & Sara N Bilimoria & Lily Guo & Danielle Yee & Maria T Ochoa & April W Armstrong, 2024. "Shared decision-making in psoriasis care: Evaluation of how patients’ perception of clinicians’ delivery of care changes by age and sex," PLOS ONE, Public Library of Science, vol. 19(5), pages 1-14, May.
    • Handle: RePEc:plo:pone00:0303058
    DOI: 10.1371/journal.pone.0303058
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    References listed on IDEAS

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    1. Julie P. W. Bynum & Laura Barre & Catherine Reed & Honor Passow, 2014. "Participation of Very Old Adults in Health Care Decisions," Medical Decision Making, , vol. 34(2), pages 216-230, February.
    2. Fitzpatrick, A.L. & Powe, N.R. & Cooper, L.S. & Ives, D.G. & Robbins, J.A. & Enright, E., 2004. "Barriers to health care access among the elderly and who perceives them," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1788-1794.
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