Shared decision-making and satisfaction with care: a population-based study in acne patients with skin of color in the United States.

Abstract

Among different races, it remains largely unknown regarding differences in shared decision-making and patient satisfaction with acne care. We conducted a cross-sectional study to determine differences between White acne patients and acne patients with skin of color (SOC) in 1) engagement in shared decision-making and 2) patient satisfaction with care, using the 2009-2017 and 2019 Medical Panel Expenditure Survey. Acne patients with SOC were nearly two times more likely to engage in high shared decision-making compared to White patients (aOR 1.80, 95% CI 1.30-2.51, p<0.001). Acne patients with SOC reported lower satisfaction with care compared to White patients (ß = -0.38, 95% CI -0.69 - -0.06, p<0.001). Acne patients with SOC report higher levels of shared decision-making than White patients. However, compared to White patients, acne patients with SOC report lower satisfaction with their care. There may be other factors contributing to lower satisfaction with care in acne patients with SOC.