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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

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

PLOS ONE, 2024, vol. 19, issue 5, 1-14

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

Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0303058

DOI: 10.1371/journal.pone.0303058

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