Karen Scherr

Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy

The American Journal of Bioethics · 2017-11-02 · 94 citations

Many health care decisions depend not only upon medical facts, but also on value judgments-patient goals and preferences. Until recent decades, patients relied on doctors to tell them what to do. Then ethicists and others convinced clinicians to adopt a paradigm shift in medical practice, to recognize patient autonomy, by orienting decision making toward the unique goals of individual patients. Unfortunately, current medical practice often falls short of empowering patients. In this article, we…

Autonomy: What's Shared Decision Making Have to Do With It?

The American Journal of Bioethics · 2018-02-01 · 43 citations

"Autonomy: What's Shared Decision Making Have to Do With It?." The American Journal of Bioethics, 18(2), pp. W11–W12

The Impact of Cost Conversations on the Patient-Physician Relationship

Health Communication · 2017-10-20 · 38 citations

Previous research has suggested that fear of harm to the patient-physician relationship is an important barrier to conversations about cost of care. However, few experimental studies have investigated the effects of cost of care conversations on the patient-physician relationship, particularly from the patient's perspective. In the current research, we take an experimental approach to investigate patients' attitudes and preferences for a hypothetical physician who discusses cost versus one who d…

Practice Patterns of Fundoscopic Examination for Diabetic Retinopathy Screening in Primary Care

JAMA Network Open · 2022 · 22 citations

Importance: Primary care professionals (PCPs) have a central role in screening for diabetic retinopathy (DR), especially in settings where access to specialty eye care is limited. Data on current DR screening practice patterns in primary care are needed to inform screening strategies. Objectives: To assess the practice patterns of fundoscopic examination for DR screening in a large primary care network and to evaluate the sensitivity and accuracy of PCP fundoscopy for detecting DR. Design, Setti…

Gain–loss framing and patients’ decisions: a linguistic examination of information framing in physician–patient conversations

Journal of Behavioral Medicine · 2020 · 19 citations