Prescribing propensity

Je, Hux; Cm, Levinton; Cd, Naylor

doi:10.1007/bf02600123

Cited by 35 publications

(1 citation statement)

References 16 publications

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“…Several studies have examined how presentation, [2-4] wording, [5] and framing [6,7] affect physicians' interpretations of numeric data as well as their willingness to initiate treatment [8]. However, few studies have examined the effect on patients of framing risk data with different metrics, such as relative or absolute risk and the number needed to treat (NNT).…”

Section: Introductionmentioning

confidence: 99%

Identifying patient preferences for communicating risk estimates: A descriptive pilot study

Fortin

Hirota

Bond

et al. 2001

BMC Med Inform Decis Mak

134

112

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BackgroundPatients increasingly seek more active involvement in health care decisions, but little is known about how to communicate complex risk information to patients. The objective of this study was to elicit patient preferences for the presentation and framing of complex risk information.MethodTo accomplish this, eight focus group discussions and 15 one-on-one interviews were conducted, where women were presented with risk data in a variety of different graphical formats, metrics, and time horizons. Risk data were based on a hypothetical woman's risk for coronary heart disease, hip fracture, and breast cancer, with and without hormone replacement therapy. Participants' preferences were assessed using likert scales, ranking, and abstractions of focus group discussions.ResultsForty peri- and postmenopausal women were recruited through hospital fliers (n = 25) and a community health fair (n = 15). Mean age was 51 years, 50% were non-Caucasian, and all had completed high school. Bar graphs were preferred by 83% of participants over line graphs, thermometer graphs, 100 representative faces, and survival curves. Lifetime risk estimates were preferred over 10 or 20-year horizons, and absolute risks were preferred over relative risks and number needed to treat.ConclusionAlthough there are many different formats for presenting and framing risk information, simple bar charts depicting absolute lifetime risk were rated and ranked highest overall for patient preferences for format.

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