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Patients’ Willingness to Share Limited Endoscopic Resources: A Brief Report on the Results of a Large Regional Survey

Background. In some health care systems, patients face long wait times for screening colonoscopy. We sought to assess whether patients at low risk for colorectal cancer (CRC) would be willing to delay their own colonoscopy so higher-risk peers could undergo colonoscopy sooner. Methods. We surveyed 1...

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Autores principales: Piper, Marc S., Zikmund-Fisher, Brian J., Maratt, Jennifer K., Kurlander, Jacob, Metko, Valbona, Waljee, Akbar K., Saini, Sameer D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8488065/
https://www.ncbi.nlm.nih.gov/pubmed/34616912
http://dx.doi.org/10.1177/23814683211045648
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author Piper, Marc S.
Zikmund-Fisher, Brian J.
Maratt, Jennifer K.
Kurlander, Jacob
Metko, Valbona
Waljee, Akbar K.
Saini, Sameer D.
author_facet Piper, Marc S.
Zikmund-Fisher, Brian J.
Maratt, Jennifer K.
Kurlander, Jacob
Metko, Valbona
Waljee, Akbar K.
Saini, Sameer D.
author_sort Piper, Marc S.
collection PubMed
description Background. In some health care systems, patients face long wait times for screening colonoscopy. We sought to assess whether patients at low risk for colorectal cancer (CRC) would be willing to delay their own colonoscopy so higher-risk peers could undergo colonoscopy sooner. Methods. We surveyed 1054 Veterans regarding their attitudes toward repeat colonoscopy and risk-based prioritization. We used multivariable regression to identify patient factors associated with willingness to delay screening for a higher-risk peer. Results. Despite a physician recommendation to stop screening, 29% of respondents reported being “not at all likely” to stop. However, 94% reported that they would be willing to delay their own colonoscopy for a higher-risk peer. Greater trust in physician and greater health literacy were positively associated with willingness to wait, while greater perceived threat of CRC and Black or Latino race/ethnicity were negatively associated with willingness to wait. Conclusion. Despite high enthusiasm for repeat screening, patients were willing to delay their own colonoscopy for higher-risk peers. Appealing to altruism could be effective when utilizing scarce resources.
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spelling pubmed-84880652021-10-05 Patients’ Willingness to Share Limited Endoscopic Resources: A Brief Report on the Results of a Large Regional Survey Piper, Marc S. Zikmund-Fisher, Brian J. Maratt, Jennifer K. Kurlander, Jacob Metko, Valbona Waljee, Akbar K. Saini, Sameer D. MDM Policy Pract Brief Report Background. In some health care systems, patients face long wait times for screening colonoscopy. We sought to assess whether patients at low risk for colorectal cancer (CRC) would be willing to delay their own colonoscopy so higher-risk peers could undergo colonoscopy sooner. Methods. We surveyed 1054 Veterans regarding their attitudes toward repeat colonoscopy and risk-based prioritization. We used multivariable regression to identify patient factors associated with willingness to delay screening for a higher-risk peer. Results. Despite a physician recommendation to stop screening, 29% of respondents reported being “not at all likely” to stop. However, 94% reported that they would be willing to delay their own colonoscopy for a higher-risk peer. Greater trust in physician and greater health literacy were positively associated with willingness to wait, while greater perceived threat of CRC and Black or Latino race/ethnicity were negatively associated with willingness to wait. Conclusion. Despite high enthusiasm for repeat screening, patients were willing to delay their own colonoscopy for higher-risk peers. Appealing to altruism could be effective when utilizing scarce resources. SAGE Publications 2021-09-28 /pmc/articles/PMC8488065/ /pubmed/34616912 http://dx.doi.org/10.1177/23814683211045648 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Brief Report
Piper, Marc S.
Zikmund-Fisher, Brian J.
Maratt, Jennifer K.
Kurlander, Jacob
Metko, Valbona
Waljee, Akbar K.
Saini, Sameer D.
Patients’ Willingness to Share Limited Endoscopic Resources: A Brief Report on the Results of a Large Regional Survey
title Patients’ Willingness to Share Limited Endoscopic Resources: A Brief Report on the Results of a Large Regional Survey
title_full Patients’ Willingness to Share Limited Endoscopic Resources: A Brief Report on the Results of a Large Regional Survey
title_fullStr Patients’ Willingness to Share Limited Endoscopic Resources: A Brief Report on the Results of a Large Regional Survey
title_full_unstemmed Patients’ Willingness to Share Limited Endoscopic Resources: A Brief Report on the Results of a Large Regional Survey
title_short Patients’ Willingness to Share Limited Endoscopic Resources: A Brief Report on the Results of a Large Regional Survey
title_sort patients’ willingness to share limited endoscopic resources: a brief report on the results of a large regional survey
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8488065/
https://www.ncbi.nlm.nih.gov/pubmed/34616912
http://dx.doi.org/10.1177/23814683211045648
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