Implementation of a decision aid for localized prostate cancer in routine care: A successful implementation strategy.

For the treatment choice of localized prostate cancer, effective patient decision aids have been developed. The implementation of decision aids in routine care, however, lags behind. Main known barriers are lack of confidence in the tool, lack of training on its use, lack of resources and lack of ti...

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Publicado en:Health Informatics Journal Vol. 26; no. 2; pp. 1194 - 1208
Autores principales: van Tol-Geerdink, Julia J, van Oort, Inge M, Somford, Diederik M, Wijburg, Carl J, Geboers, Arno, van Uden-Kraan, Cornelia F, de Vries, Marieke, Stalmeier, Peep FM
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Jun2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Implementation of a decision aid for localized prostate cancer in routine care: A successful implementation strategy.
      aug:
        au:
          van Tol-Geerdink, Julia J
          van Oort, Inge M
          Somford, Diederik M
          Wijburg, Carl J
          Geboers, Arno
          van Uden-Kraan, Cornelia F
          de Vries, Marieke
          Stalmeier, Peep FM
        affil: Radboud University Medical Center, The Netherlands
      sug:
        subj:
          Prostatic Neoplasms
          Decision Support Techniques
          Implementation Science
          Oncologic Care
          Health Services Accessibility
          Professional Boundaries
          Human
          Male
          Middle Age
          Aged
          Questionnaires
          Program Implementation Statistics and Numerical Data
          Hospitals
          Decision Making, Shared
          Patient Preference
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
      ab: For the treatment choice of localized prostate cancer, effective patient decision aids have been developed. The implementation of decision aids in routine care, however, lags behind. Main known barriers are lack of confidence in the tool, lack of training on its use, lack of resources and lack of time. A new implementation strategy addresses these barriers. Using this implementation strategy, the implementation rate of a decision aid was measured in eight hospitals and questionnaires were filled out by 24 care providers and 255 patients. The average implementation rate was 60 per cent (range 31%–100%). Hardly any barriers remained for care providers. Patients who did not use the decision aid appeared to be more unwilling than unable to use the decision aid. By addressing known barriers, that is, informing care providers on the effectiveness of the decision aid, providing instructions on its use, embedding it in the existing workflow and making it available free of charge, a successful implementation of a prostate cancer decision aid was reached.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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