Shared Decision-Making and Emergency Department Use Among People With High Blood Pressure

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Yakubu, R. Aver ; Coleman, Alyssa ; Ainyette, Alina ; Katyayan, Anisha ; Enard, Kimberly R.
• Description:
  Introduction
  
  Forty-seven percent of all adults in the US have a diagnosis of high blood pressure. Among all US emergency department (ED) users, an estimated 45% have high blood pressure. The success of high blood pressure interventions in reducing ED visits is partially predicated on patients’ adherence to treatment plans. One method for promoting adherence to treatment plans is shared decision-making between patients and medical providers.
  
  Methods
  
  We conducted a cross-sectional observational study using 2015–2019 Medical Expenditure Panel Survey data. We used studies on shared decision-making as a guide to create a predictor variable for shared decision-making. We determined covariates according to the Andersen Behavioral Model of Health Services Use. ED use was the outcome variable. We used cross tabulation to compare covariates of ED use and multivariable logistical regression to assess the association between shared decision-making and ED use. Our sample size was 30,407 adults.
  
  Results
  
  Less than half (39.3%) of respondents reported a high level of shared decision-making; 23.3% had 1 or more ED visits. In the unadjusted model, respondents who reported a high level of shared decision-making were 20% less likely than those with a low level of shared decision-making to report 1 or more ED visits (odds ratio [OR], 0.80; 95% CI, 0.75–0.86; P <.001). After adjusting for covariates, a high level of shared decision-making was still associated with lower odds of ED use (OR, 0.86; 95% CI, 0.76–0.97; P = .01).
  
  Conclusion
  
  Shared decision-making may be an effective method for reducing ED use among patients with high blood pressure.
  
  
• Subjects:
  Adult Cross-Sectional Studies Emergency Service, Hospital Humans Hypertension Odds Ratio Patient Compliance
• Source:
  Prev Chronic Dis. 2023; 20
• DOI:
  http://dx.doi.org/10.5888/pcd20.230086
• ISSN:
  1545-1151
• Pubmed ID:
  37733952
• Pubmed Central ID:
  PMC10516202
• Document Type:
  Journal Article
• Volume:
  20
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:fb4190e8ee79f94e694caff8739f2144635dbd2869690037aaceab7ac798007e6c8e732170be21facc2e486fc237a369d748613771e2cc07a8fbe264b24d2db1
• Download URL:
  https://stacks.cdc.gov/view/cdc/151111/cdc_151111_DS1.pdf
• File Type:
  [PDF - 462.98 KB ]