Does patient time spent viewing computer-tailored colorectal cancer screening materials predict patient-reported discussion of screening with providers?

被引:3
|
作者
Sanders, Mechelle [1 ,2 ]
Fiscella, Kevin [1 ,2 ]
Veazie, Peter [2 ]
Dolan, James G. [2 ]
Jerant, Anthony [3 ]
机构
[1] Univ Rochester, Med Ctr, Dept Family Med, Rochester, NY 14642 USA
[2] Univ Rochester, Med Ctr, Dept Publ Hlth Sci, Rochester, NY 14642 USA
[3] Univ Calif Davis, Sch Med, Dept Family & Community Med, Sacramento, CA 95817 USA
关键词
MEDICAL-RECORDS; SHORT-FORM; PHYSICIAN; INTERVENTION; DISPARITIES; KNOWLEDGE; TESTS; COLON;
D O I
10.1093/her/cyw032
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
On average, patients spent 33 minutes on the program. In adjusted analyses, 30 minutes spent using the program was associated with a 41% increase in the odds of the patient having a discussion with their PCP (1.04, 1.59, 95% CI). In a separate analysis of the tailoring modules; the modules encouraging adherence to the tailored screening recommendation and discussion with the patient's PCP yielded significant results. Other predictors of screening discussion included better self-reported physical health and increased patient activation. Time spent on the program predicted greater patient-physician discussion of screening during a linked visit. Usage time information gathered automatically by IMCPs offers promise for objectively assessing patient engagement around a topic and predicting likelihood of discussion between patients and their clinician.
引用
收藏
页码:555 / 562
页数:8
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