Skip Navigation Archive: U.S. Department of Health and Human Services U.S. Department of Health and Human Services
Archive: Agency for Healthcare Research Quality www.ahrq.gov
AHRQ Home—Live Site | Archive Home | Site Map
Archival print banner

This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.

Please go to www.ahrq.gov for current information.

Evaluation of ARRA Comparative Effectiveness Research Dissemination Contract Efforts

Appendix O: Clinician Survey Results (continued)

Table 7. Respondents who Share Educational Materials with their Patients by Clinician Type

I share educational materials… Clinician Type
Physician Physician Assistant Nurse Practitioner Total
Freq. Percent Freq. Percent Freq. Percent Freq. Percent
With every patient 51 10.9 49 8.8 93 17.2 193 12.3
With most patients 174 37.2 207 37.1 233 43 614 39.2
With some patients 188 40.2 235 42.1 169 31.2 592 37.8
Rarely 50 10.7 49 8.8 30 5.5 129 8.2
Never 1 0.2 7 1.3 3 0.6 11 0.7
Does not apply, I do not help patients make treatment decisions 4 0.9 11 2 14 2.6 29 1.8
Total 468 100 558 100 542 100 1568 100



Table 8. Reasons Respondents Do Not Discuss Treatment Options with their Patients by Clinician Type

When I do not discuss treatment options with patients it is because… Clinician Type
Physician (N=464) Physician Assistant (N=547) Nurse Practitioner (N=528) Total (N=1,539)
Freq. Percent Freq. Percent Freq. Percent Freq. Percent
I don't have enough time 90 19.4 86 15.7 68 12.9 244 15.9
I don't want to confuse my patients 51 11 54 9.9 28 5.3 133 8.6
Organization/practice doesn't encourage talking about treatment options 3 0.6 8 1.5 5 0.9 16 1
My patients don't seem interested in hearing about treatment options 62 13.4 64 11.7 47 8.9 173 11.2
My patients look uncomfortable when I discuss treatment options with them 11 2.4 19 3.5 13 2.5 43 2.8
My patients have difficulty understanding their treatment options 61 13.1 77 14.1 71 13.4 209 13.6
My patients are quickly overwhelmed by the amount of information 63 13.6 88 16.1 70 13.3 221 14.4
My patients are already aware of their treatment options 75 16.2 100 18.3 97 18.4 272 17.7
My patients expect me to know what is best for them 76 16.4 85 15.5 52 9.8 213 13.8
When there are not treatment options to discuss 164 35.3 176 32.2 165 31.3 5.5 32.8
Not applicable, I discuss options with every patient 188 40.5 213 38.9 213 40.3 614 39.9
None of the above 19 4.1 19 3.5 30 5.7 68 4.4
No response provided 4 0.9 4 0.7 6 1.1 14 0.9



Table 9. Reasons Respondents Discuss Treatment Options with Patients by Clinician Type

When I do discuss treatment options with my patients… Clinician Type
Physician (N=464) Physician Assistant (N=547) Nurse Practitioner (N=528) Total (N=1,539)
Freq. Percent Freq. Percent Freq. Percent Freq. Percent
It is because my patients ask me for options 222 47.8 247 45.2 247 46.8 716 46.5
It is because my patients ask me about specific options 211 45.5 220 40.2 229 43.4 660 42.9
I tell them about the relative effectiveness of each option 337 72.6 376 68.7 364 68.9 1077 70
I describe the potential cost of each option with them 199 42.9 247 45.2 182 34.5 628 40.8
I describe the risks and benefits of each option with them 414 89.2 468 85.6 449 85 1331 86.5
I tell them about my experience with each option 301 64.9 286 52.3 245 46.4 832 54.1
None of the above 6 1.3 5 0.9 10 1.9 21 1.4
No response provided 1 0.2 1 0.2 2 0.4 4 0.3



Table 10. Awareness, Use, and Sharing of EHC Program Products by Clinician Type

Awareness, Use and Sharing of EHCP Products Clinician Type
Physician (N=39) Physician Assistant(N=38) Nurse Practitioner (N=83) Total (N=160)
Freq. Percent Freq. Percent Freq. Percent Freq. Percent
Research reviews
Aware 31 79.5 30 78.9 68 81.9 129 80.6
Used 17 43.6 14 36.8 43 51.8 74 46.3
Shared 8 20.5 4 10.5 18 21.7 30 18.8
Original research reports
Aware 28 71.8 24 63.2 61 73.5 113 70.6
Used 17 43.6 12 31.6 32 38.6 61 38.1
Shared 8 20.5 5 13.2 12 14.5 25 15.6
Research summaries
Aware 31 79.5 25 65.8 69 83.1 125 78.1
Used 20 51.3 15 39.5 45 54.2 80 50
Shared 9 23.1 6 15.8 22 26.5 37 23.1
Consumer/patient summaries
Aware 20 51.3 22 57.9 52 62.7 94 58.8
Used 10 25.6 11 28.9 16 19.3 37 23.1
Shared 3 7.7 4 10.5 10 12 17 10.6
Clinician summaries
Aware 27 69.2 25 65.8 59 71.1 111 69.4
Used 16 41 14 36.8 34 41 64 40
Shared 5 12.8 6 15.8 18 21.7 29 18.1
Policymaker summaries
Aware 17 43.6 18 47.4 38 45.8 73 45.6
Used 5 12.8 5 13.2 8 9.6 18 11.3
Shared 1 2.6 0 0 3 3.6 4 2.5
Continuing Medical Education/ Continuing Education activities
Aware 22 56.4 27 71.1 54 65.1 103 64.4
Used 15 38.5 14 36.8 36 43.4 65 40.6
Shared 4 10.3 2 5.3 16 19.3 22 13.8
Webcast conferences
Aware 16 41 22 57.9 41 49.4 79 49.4
Used 4 10.3 9 23.7 15 18.1 28 17.5
Shared 2 5.1 1 2.6 6 7.2 9 5.6
Slide library for presentations and presentation materials
Aware 15 38.5 15 39.5 37 44.6 67 41.9
Used 7 17.9 3 7.9 19 22.9 29 18.1
Shared 1 2.6 2 5.3 8 9.6 11 6.9
Educational videos on research topics
Aware 14 35.9 19 50 41 49.4 74 46.3
Used 5 12.8 5 13.2 18 21.7 28 17.5
Shared 1 2.6 1 2.6 8 9.6 10 6.3



Table 11. Respondents who have ever Visited the EHC Program Web Site by Clinician Type

Have Ever Visited the EHC Program Web Site Clinician Type
Physician Physician Assistant Nurse Practitioner Total
Freq. Percent Freq. Percent Freq. Percent Freq. Percent
No 35 61.4 63 72.4 50 46.3 148 58.7
Yes 22 38.6 24 27.6 58 53.7 104 41.3
Total 57 100 87 100 108 100 252 100



Table 12. Activities on EHC Program Web Site by Clinician Type

Have you done while visiting the EHC Program's Web site Clinician Type
Physician Physician Assistant Nurse Practitioner Total
Freq. Percent Freq. Percent Freq. Percent Freq. Percent
Read / downloaded a clinician summary 16 72.7 15 62.5 31 53.4 62 59.6
Read / downloaded a consumer summary 10 45.5 3 12.5 13 22.4 26 25
Suggested a topic 0 0 0 0 4 6.9 4 3.8
Made comments on a review 0 0 0 0 0 0 0 0
Taken a continuing education course 0 0 4 16.7 7 12.1 11 10.6
Requested additional information 0 0 0 0 5 8.6 5 4.8
Find information about a particular health condition or treatment topic 8 36.4 7 29.2 26 44.8 41 39.4
Learned more about the Effective Health Care Program 13 59.1 8 33.3 17 29.3 38 36.5
Learned more about comparative effectiveness research 9 40.9 3 12.5 17 29.3 29 27.9
Just looked around on the site 11 50 10 41.7 30 51.7 51 49
Other 0 0 1 4.2 1 1.7 2 1.9
Don't know / not sure 0 0 0 0 0 0 0 0
No response provided 0 0 0 0 1 1.7 1 1



Table 13. Recency of Last Visit to the EHC Program Web Site by Clinician Type

Recency of Last Visit to EHC Program Web Site Clinician Type
Physician Physician Assistant Nurse Practitioner Total
Freq. Percent Freq. Percent Freq. Percent Freq. Percent
In the last 3 months 15 71.4 11 45.8 39 67.2 65 63.1
In the last 6 months 2 9.5 9 37.5 9 15.5 20 19.4
6 months to a year ago 1 4.8 2 8.3 3 5.2 6 5.8
More than a year ago 1 4.8 1 4.2 4 6.9 6 5.8
Don't know / not sure 2 9.5 1 4.2 3 5.2 6 5.8
Total 21 100 24 100 58 100 103 100



Table 14. Interest in Using EHC Program Products within the Next Year by Clinician Type

Intentions regarding the EHC Program Clinician Type
Physician Physician Assistant Nurse Practitioner Total
Freq. Percent Freq. Percent Freq. Percent Freq. Percent
Use any EHC Program clinician products within the next year
Definitely will not 9 1.9 11 2 2 0.4 22 1.4
Probably will not 59 12.6 66 11.8 40 7.4 165 10.6
Might or might not 188 40.1 229 41.1 175 32.6 592 37.9
Probably will 168 35.8 192 34.5 228 42.5 588 37.6
Definitely will 45 9.6 59 10.6 92 17.1 196 12.5
Total 469 100 557 100 537 100 1563 100
Use any EHC Program patient summaries within the next year
Definitely will not 8 1.7 11 2 3 0.6 22 1.4
Probably will not 63 13.4 66 11.8 36 6.7 165 10.6
Might or might not 197 42 239 42.9 199 37.1 635 40.6
Probably will 166 35.4 192 34.5 210 39.1 568 36.3
Definitely will 35 7.5 49 8.8 89 16.6 173 11.1
Total 469 100 557 100 537 100 1563 100



Table 15. Self-Reported Exposure to I nformation about CER and EHC Program

Exposure to information about CER and the EHC Program Clinician Type
Physician Physician Assistant Nurse Practitioner Total
Freq. Percent Freq. Percent Freq. Percent Freq. Percent
Taken any online CME course presenting CER-based findings in last 12 months?
No 235 50.4 229 41 244 45.2 708 45.3
Yes 90 19.3 99 17.7 108 20 297 19
Don't know / not sure 141 30.3 230 41.2 188 34.8 559 35.7
Total 466 100 558 100 540 100 1564 100
Visit by patient-centered outcomes consultant on CER/EHC Program in last 12 months?
No 425 90.4 488 87.5 492 90.9 1405 89.5
Yes 14 3 17 3 5 0.9 36 2.3
Don't know / not sure 31 6.6 53 9.5 44 8.1 128 8.2
Total 470 100 558 100 541 100 1569 100
Topics addressed by consultant N=14 N=17 N=5 N=36
Insulin Analogues in Premixed Formulations for Adults With Type2 Diabetes 7 50 6 35.3 2 40 15 41.7
Oral Diabetes Medications for Adults With Type 2 Diabetes 10 71.4 9 52.9 3 60 22 61.1
ACEIs, ARBs, Direct Renin Inhibitors for treating essential hypertension 5 35.7 7 41.2 1 20 13 36.1
Other 3 21.4 3 17.6 1 20 7 19.4
Don't know / not sure 0 0 4 23.5 1 20 5 13.9
Have prof. orgs. sent you information about CER/EHC Program in last 12 months?
No 294 62.7 374 67.5 359 66.4 1027 65.7
Yes 36 7.7 17 3.1 38 7 91 5.8
Don't know / not sure 139 29.6 163 29.4 144 26.6 446 28.5
Total 469 100 554 100 541 100 1564 100
Received information from a national or regional / local organization?
National organization 18 51.4 11 64.7 24 64.9 53 59.6
Regional or local organization 2 5.7 3 17.6 5 13.5 10 11.2
Neither national nor regional / local 2 5.7 0 0 0 0 2 2.2
Don't know / not sure 1 2.9 1 5.9 1 2.7 3 3.4
National and regional / local 12 34.3 2 11.8 7 18.9 21 23.6
Total 35 100 17 100 37 100 89 100
Professional Organizations
American Medical Association 125 26.5 4 0.7 1 0.2 130 803
American Academy of Family Physicians 130 27.6 11 2 2 0.4 143 9.1
Society of General Internal Medicine 10 2.1 0 0 0 0 10 0.6
American College of Physicians 81 17.2 4 0.7 0 0 85 5.4
American College of Osteopathic Internists 8 1.7 1 0.2 1 0.2 10 0.6
American Academy of Pediatrics 87 18.5 4 0.7 1 0.2 92 5.8
American Congress of Obstetricians and Gynecologists 39 8.3 2 0.4 2 0.4 43 2.7
American Academy of Physician Assistants 3 0.6 406 72.5 5 0.9 414 26.3
Association of Physician Assistants in Obstetrics and Gynecology 1 0.2 10 1.8 0 0 11 0.7
Association of Family Practice Physician Assistants 1 0.2 35 6.3 0 0 36 2.3
Society for Physician Assistants in Pediatrics 0 0 4 0.7 0 0 4 0.3
American Academy of Nurse Practitioners 0 0 0 0 270 49.6 270 17.1
American College of Nurse Practitioners 0 0 0 0 58 10.7 58 3.7
National Association of Pediatric Nurse Practitioners 0 0 0 0 40 7.4 40 2.5
Association of Women's Health, Obstetric and Neonatal Nurses 0 0 0 0 25 4.6 25 1.6
American Nurses Association 0 0 3 0.2 106 19.5 109 6.9
American Academy of Nursing 0 0 0 0 13 2.4 13 0.8
Other national organizations 77 16.3 54 9.6 155 28.5 286 18.2
Other regional / local organizations 61 13 118 21.1 127 23.3 306 19.4
I do not belong to any professional organizations 44 9.3 93 16.6 55 10.1 192 12.2
No response provided 3 0.6 7 1.3 5 0.9 15 1
Exposure - compare treatment options campaign in last 12 months?
No 140 30.3 181 32.5 158 29.2 481 30.7
Yes 260 55.6 302 54.2 319 58.9 881 56.2
Don't know / not sure 66 14.1 74 13.3 65 12 205 13.1
Total 468 100 557 100 542 100 1567 100
When was last time you saw the campaign information?
In the last week 59 23 69 22.8 102 32.2 230 26.3
In the last month 107 41.6 122 40.4 113 35.6 342 39
About 2-3 months ago 59 23 76 25.2 56 17.7 191 21.8
About 4-6 months ago 27 10.5 24 7.9 28 8.8 79 9
More than 6 months ago 5 1.9 11 3.6 18 5.7 34 3.9
Total 257 100 302 100 317 100 876 100



Return to Contents

Proceed to Next Section

Page last reviewed October 2013
Page originally created December 2014
Internet Citation: Evaluation of ARRA Comparative Effectiveness Research Dissemination Contract Efforts. Content last reviewed October 2013. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/research/findings/final-reports/arracer/arracer-apopt2.html

The information on this page is archived and provided for reference purposes only.

 
AHRQ Advancing Excellence in Health Care