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...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-09-01
|
| Series: | MDM Policy & Practice |
| Online Access: | https://doi.org/10.1177/23814683211045648 |
| _version_ | 1818937137766072320 |
|---|---|
| author | Marc S. Piper Brian J. Zikmund-Fisher Jennifer K. Maratt Jacob Kurlander Valbona Metko Akbar K. Waljee Sameer D. Saini |
| author_facet | Marc S. Piper Brian J. Zikmund-Fisher Jennifer K. Maratt Jacob Kurlander Valbona Metko Akbar K. Waljee Sameer D. Saini |
| author_sort | Marc S. Piper |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-20T05:47:11Z |
| format | Article |
| id | doaj.art-0b440e52d4ec4e36a597fba058a4e576 |
| institution | Directory Open Access Journal |
| issn | 2381-4683 |
| language | English |
| last_indexed | 2024-12-20T05:47:11Z |
| publishDate | 2021-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | MDM Policy & Practice |
| spelling | doaj.art-0b440e52d4ec4e36a597fba058a4e5762022-12-21T19:51:16ZengSAGE PublishingMDM Policy & Practice2381-46832021-09-01610.1177/23814683211045648Patients’ Willingness to Share Limited Endoscopic Resources: A Brief Report on the Results of a Large Regional SurveyMarc S. PiperBrian J. Zikmund-FisherJennifer K. MarattJacob KurlanderValbona MetkoAkbar K. WaljeeSameer D. SainiBackground. 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.https://doi.org/10.1177/23814683211045648 |
| spellingShingle | Marc S. Piper Brian J. Zikmund-Fisher Jennifer K. Maratt Jacob Kurlander Valbona Metko Akbar K. Waljee Sameer D. Saini Patients’ Willingness to Share Limited Endoscopic Resources: A Brief Report on the Results of a Large Regional Survey MDM Policy & Practice |
| 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 |
| url | https://doi.org/10.1177/23814683211045648 |
| work_keys_str_mv | AT marcspiper patientswillingnesstosharelimitedendoscopicresourcesabriefreportontheresultsofalargeregionalsurvey AT brianjzikmundfisher patientswillingnesstosharelimitedendoscopicresourcesabriefreportontheresultsofalargeregionalsurvey AT jenniferkmaratt patientswillingnesstosharelimitedendoscopicresourcesabriefreportontheresultsofalargeregionalsurvey AT jacobkurlander patientswillingnesstosharelimitedendoscopicresourcesabriefreportontheresultsofalargeregionalsurvey AT valbonametko patientswillingnesstosharelimitedendoscopicresourcesabriefreportontheresultsofalargeregionalsurvey AT akbarkwaljee patientswillingnesstosharelimitedendoscopicresourcesabriefreportontheresultsofalargeregionalsurvey AT sameerdsaini patientswillingnesstosharelimitedendoscopicresourcesabriefreportontheresultsofalargeregionalsurvey |