2016
DOI: 10.1002/pon.4191
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Perceptions of cancer treatment decision making among American Indians/Alaska Natives and their physicians

Abstract: Objective American Indian/Alaska Native (AI/AN) patients are significantly less likely than non-Hispanic whites to receive guideline-concordant cancer care. Our objective was to examine cancer treatment decision making among AI/AN patients and their providers. Methods From 2011–14, AI/AN cancer patients and their surgeons were identified through a hospital registry in Washington State. Patients were invited to participate in a mailed survey that queried socio-demographics, cultural affiliation, everyday perc… Show more

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Cited by 7 publications
(4 citation statements)
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“…Analyses of the differences in treatment among Native American groups compared with non-Hispanic white patients have identified the importance of shared decision making between surgeons and patients as an important factor in outcomes. 30 Lack of education, low income, and rural residence could easily contribute to a failure in shared decision making, which is therefore a possible explanation for the connection between low SES and treatment modality. Studies regarding sexual minorities have also identified fear of bias as an important factor influencing how patients interact with the health care system.…”
Section: Commentmentioning
confidence: 99%
“…Analyses of the differences in treatment among Native American groups compared with non-Hispanic white patients have identified the importance of shared decision making between surgeons and patients as an important factor in outcomes. 30 Lack of education, low income, and rural residence could easily contribute to a failure in shared decision making, which is therefore a possible explanation for the connection between low SES and treatment modality. Studies regarding sexual minorities have also identified fear of bias as an important factor influencing how patients interact with the health care system.…”
Section: Commentmentioning
confidence: 99%
“…The perception of the respondents in the current study that patients often get led by the choice of the clinicians has been found in other settings but it was noted that non-collaborative decision-making was associated with increased non-adherence to treatment in the longer run [34]. One Australian study observed that patients tend to report their PS better than the oncologists and there was good agreement between raters for both the PS scales [35].…”
Section: Discussionmentioning
confidence: 55%
“…It is very important to mention that the patients have the autonomy to refer to any standard centers. When a patient is referred to a special paraclinic facility, it is necessary to convince him/her that it is only a strategy to promote and preserve his/her health and there is no financial interest for other physicians [5]. In such cases, it is very important to declare all possible interests of the physician.…”
Section: Dear Editormentioning
confidence: 99%