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Table 5 Conditional Odds Ratios for perceived style of decision-making (excluding preferred style)

From: Clinical decision-making: physicians' preferences and experiences

 

Paternalism vs. Shared decision-making*

Consumerism vs. Shared decision-making**

 

COR (95% CI)

COR (95% CI)

Age

  

   28 – 49

1.00

1.00

   50+

1.69 (1.15 – 2.47)

0.96 (0.62 – 1.49)

Country of training

  

   U.S.

1.00

1.00

   Overseas

2.20 (1.24 – 3.90)

2.07 (1.08 – 3.99)

Geographic setting of practice 1

  

   Urban

1.00

1.00

   Suburban

1.37 (0.84 – 2.25)

0.48 (0.28 – 0.81)

   Small town

1.15 (0.68 – 1.95)

0.39 (0.22 – 0.72)

   Rural

0.47 (0.16 – 1.44)

0.71 (0.29 – 1.75)

Respondent's type of medical specialty 2

  

   Primary Care

1.00

1.00

   Medical Specialty

1.20 (0.78 – 1.84)

1.16 (0.64 – 2.09)

   Surgical Specialty

0.56 (0.32 – 0.96)

2.66 (1.58 – 4.47)

Percentage of patients from minority backgrounds

  

   40% or less

1.00

1.00

   > 40%

2.22 (1.40 – 3.51)

0.79 (0.45 – 1.42)

Physician perceptions of frequency of encouraging patients to look for information

  

   Often/Sometimes

1.00

1.00

   Hardly ever/Never

1.75 (1.15 – 2.68)

1.19 (0.71 – 2.00)

Physician perceptions of frequency of having enough time with patients in visits

  

   Often/Sometimes

1.00

1.00

   Hardly ever/Never

1.75 (1.02 – 2.99)

0.97 (0.47 – 2.02)

  1. * A Conditional Odds Ratio of > 1 means that physicians in this category had a greater likelihood of perceiving themselves as practicing paternalism compared to shared decision-making than the referent group.
  2. ** A Conditional Odds Ratio of > 1 means that physicians in this category had a greater likelihood of perceiving themselves as practicing consumerism compared to shared decision-making than the referent group.
  3. 1There were no other significant findings for geographic setting, whichever setting was used as the referent point.
  4. 2Physicians in surgical specialties were less likely to perceive themselves as practicing paternalism than physicians in medical specialties (OR 0.46; 95% CI 0.27 – 0.80), and more likely to perceive consumerism (OR 2.29; 95% CI 1.36 – 3.88).