Table 3:

Factors that Influenced SDM Discussions¹

	Interns/Residents	Academic Clinicians	Community Clinicians	All Physicians
Factors Influencing Discussions	(n=84)	(n=16)	(n=35)	(n=135)
Systemic factors
Lack of time	78.3	87.5	82.4	80.5
Complexity of screening	42.2	53.3	55.9	47.0
Competing priorities/a need to focus on patients’ current complaints/disease	97.6	93.8	90.9	95.5
Lack of reimbursement for discussion**	11.0	18.8	38.2	18.9
Patient factors
Level of patient interest in this topic	67.5	75.0	73.5	69.9
A language barrier between myself and my patients	34.9	37.5	35.3	35.3
The patients I see are already well informed about this topic**	39.8	75.0	70.6	51.9
Physician factors
My belief that a discussion would not influence whether I order the test*	21.7	6.3	39.4	24.2
My personal lack of knowledge about the benefits and risks of prostate cancer screening **	42.2	6.3	23.5	33.1
The concern that this discussion might discourage my patients from being screened	21.7	12.5	26.5	21.8

^*P<.05;

^**P<.01;

^**Percentages reflect those who responded sometimes, often, or almost always.