Alvord, Margaret; Dinehart, Claire; Holdeman, Alexis (University of Utah)
Faculty Advisor: Kamimua, Akiko (College of Social and Behavioral Sciences, Sociology)
The purpose of this project is to evaluate the factors that affect levels of patient perspectives of autonomy in clinical decision making among uninsured patients utilizing a free clinic. Patient autonomy in clinical settings is important because it can lead to more successful outcomes as well as an overall increase in patient satisfaction with their health care. Uninsured primary care patients tend to experience barriers to autonomy in clinical decision making due to limited choices of health care facilities and low health literacy. However, patient autonomy among underserved populations is an under-studied topic because ensuring access to care is usually the top priority for the populations. This proposed study will fill the gap and contribute to reducing disparities in health care. Data has been collected from patients of the Maliheh Free Clinic in Salt Lake City using a self-administered survey in fall 2019. Patients who are aged 18 or older and speak English or Spanish are eligible to participate in this study. As of October 29, 2019, 254 patients participated in the survey. Preliminary results suggest that older patients and non-US born patients were more likely to believe that providers should decide (less patient autonomy). Older patients were more likely to believe that they should be informed of potential risks in treatment. These results have potential applications for free-clinics to increase patient satisfaction and informed health care decision making. Informing patients of their right to autonomy can also lead to more trusting physician-patient relationships and therefore better health care.