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The Role of Patient-Centeredness in Predicting Compliance with Mammogram Recommendations: An Analysis of the Health Information National Trends Survey
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2008
Year
Health Care DisparityPopulation Health SciencesHealth DisparitiesMedical Decision MakingPrimary CarePreventive MedicinePerceived Patient-centerednessSocial HealthHealth CommunicationPublic HealthMedical GuidelineHealth Services ResearchMammogram BehaviorHealth PolicyOutcomes ResearchMedical Decision AnalysisPhysician RecommendationHealth Information TechnologyNursingHealth SystemsMammogram RecommendationsCancer ScreeningPatient SafetyHealth BehaviorPatient EducationPatient-centered OutcomeMedicinePatient ExperienceHealth Informatics
Abstract The Health Information National Trends Survey (HINTS), a nationally representative data set, was analyzed to investigate the influence of perceived patient-centeredness, physician recommendation of mammograms, and race on adherence to mammogram recommendations. Data from African American, European American, Hispanic, and other female ethnic/racial groups (N = 2179) revealed that a recommendation from a physician to obtain a mammogram was a significant predictor of mammogram behavior (OR = 6.67), while patient-centeredness was not predictive of adherence to mammogram recommendations. Additionally, Latinas reported higher perceptions of patient-centeredness than African Americans and European Americans. Implications are discussed, along with recommendations for future research. Keywords: Doctor-Patient InteractionHINTSMammogram CompliancePatient Centeredness Notes ∗p < 0.01 †p < 0.001. Abbreviation: eβ = exponentiated β. ∗p < 0.001. Abbreviation: e β = exponentiated β. ∗p < 0.01 †p < 0.001. Abbreviation: eβ = exponentiated β. ∗p < 0.01 †p < 0.001. Abbreviation: eβ = exponentiated β. Additional informationNotes on contributorsKami J. Silk Kami J. Silk (PhD, University of Georgia, 2002) is Assistant Professor in the Department of Communication at Michigan State University. Catherine Kingsley Westerman Catherine Kingsley Westerman (PhD, Michigan State University, 2008) is Visiting Assistant Professor in the Department of Communication at West Virginia University. Renee Strom Renee Strom (PhD, Michigan State University, 2006) is Assistant Professor at St. Cloud University. Kyle R. Andrews Kyle R. Andrews (MS, Syracuse University, 2002) is doctoral student in the Department of Communication at Michigan State University.
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