Patient and physician views of shared decision making in cancer.
Context Engaging patients in shared decision making involves patient knowledge of treatment options and physician elicitation of patient preferences. Objective Our aim was to explore patient and physician perceptions of shared decision making in clinical encounters for cancer care. Design Patients a...
| Publicado en: | Health Expectations Vol. 20; no. 6; pp. 1248 - 1254 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126261716&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126261716 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Dec2017 vid: 20 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 126261716 126261716 126261716 10.1111/hex.12564 126261716 ppf: 1248 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Patient and physician views of shared decision making in cancer. aug: au: Tamirisa, Nina P. Goodwin, James S. Kandalam, Arti Linder, Suzanne K. Weller, Susan Turrubiate, Stella Silva, Colleen Riall, Taylor S. affil: Department of Surgery, The University of Texas Medical Branch, Galveston TX, USA sug: subj: Decision Making, Shared Neoplasms Therapy Physician Attitudes Patient Attitudes Perception Information Needs Patient Centered Care Interviews Thematic Analysis Interview Guides Purposive Sample Middle Age Aged Female Male Human Funding Source Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Context Engaging patients in shared decision making involves patient knowledge of treatment options and physician elicitation of patient preferences. Objective Our aim was to explore patient and physician perceptions of shared decision making in clinical encounters for cancer care. Design Patients and physicians were asked open-ended questions regarding their perceptions of shared decision making throughout their cancer care. Transcripts of interviews were coded and analysed for shared decision-making themes. Setting and participants At an academic medical centre, 20 cancer patients with a range of cancer diagnoses, stages of cancer and time from diagnosis, and eight physicians involved in cancer care were individually interviewed. Discussion and conclusions Most physicians reported providing patients with written information. However, most patients reported that written information was too detailed and felt that the physicians did not assess the level of information they wished to receive. Most patients wanted to play an active role in the treatment decision, but also wanted the physician's recommendation, such as what their physician would choose for him/herself or a family member in a similar situation. While physicians stated that they incorporated patient autonomy in decision making, most provided data without making treatment recommendations in the format preferred by most patients. We identified several communication gaps in cancer care. While patients want to be involved in the decision-making process, they also want physicians to provide evidence-based recommendations in the context of their individual preferences. However, physicians often are reluctant to provide a recommendation that will bias the patient. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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