PMID: 8602709Mar 1, 1996Paper

Characteristics of physicians with participatory decision-making styles

Annals of Internal Medicine
S H KaplanJ E Ware

Abstract

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. 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. Solo practices, multispecialty groups, and health maintenance organizations in Boston, Chicago, and Los Angeles. 7730 patients sampled over 9 days from the practices of 300 physicians. Physicians were practicing general internal medicine, family medicine, cardiology, and endocrinology. 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. Among patients of physicians who were rated in the lowest (l...Continue Reading

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