Potential Role of Cost and Quality of Life in Treatment Decisions for Arthritis-Related Knee Pain in African American and Latina Women.

Potential Role of Cost and Quality of Life in Treatment Decisions for Arthritis-Related Knee Pain in African American and Latina Women. - 2020

CONCLUSION: Latina and African American women could make more informed treatment decisions for their knee pain using a decision-making tool that provides them with significant information about how various treatment options may impact their quality of life, medical care costs, and workforce productivity. This article is protected by copyright. All rights reserved. Copyright This article is protected by copyright. All rights reserved. METHODS: We conducted four focus groups of Latina and African American women over the age of 45 who had knee pain. Also, we conducted two focus groups with primary care providers who treated Latina and African American women for knee pain. The participants were recruited from the community. They were asked their opinions about a decision tool that presented information on a range of treatment options and their impacts on quality of life, medical care costs and work productivity. They were asked whether providing this information would help them make better treatment decisions. We analyzed the focus group transcripts using ATLAS.ti. OBJECTIVE: This study ascertains whether Latina and African American women with arthritis-related knee pain and primary care providers who treat them believe their treatment decisions would benefit from having more information about the impact of treatment on their quality of life, medical care costs and work productivity. RESULTS: We found that minority women and primary care providers endorsed the use of a decision-making tool that provided information of the impact of treatment on quality of life, medical care costs and work productivity. Providers felt patients would benefit from having the additional information but were concerned about its complexity and some patients' ability to comprehend the information.


English

2151-464X

10.1002/acr.23903 [doi]


*African Americans/px [Psychology]
*Arthralgia/ec [Economics]
*Arthralgia/th [Therapy]
*Clinical Decision-Making
*Health Care Costs
*Health Knowledge, Attitudes, Practice/eh [Ethnology]
*Hispanic Americans/px [Psychology]
*Osteoarthritis, Knee/ec [Economics]
*Osteoarthritis, Knee/th [Therapy]
*Physicians, Primary Care/px [Psychology]
*Quality of Life
Arthralgia/eh [Ethnology]
Arthralgia/px [Psychology]
Attitude of Health Personnel
Choice Behavior
Cost-Benefit Analysis
Culturally Competent Care/eh [Ethnology]
Decision Support Techniques
Employment
Female
Focus Groups
Humans
Middle Aged
Osteoarthritis, Knee/eh [Ethnology]
Osteoarthritis, Knee/px [Psychology]
Patient Selection
Primary Health Care
Race Factors
Recovery of Function
Treatment Outcome


MedStar Harbor Hospital


Journal Article

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