Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation-an observational study.

Autor: Patel Chavez CP; Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA., Godinez Leiva E; Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA., Bagautdinova D; College of Journalism and Communications, University of Florida, Gainesville, FL, USA., Hidalgo J; Knowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA., Hartasanchez S; Knowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA., Barb D; Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA., Danan D; Department of Otolaryngology, University of Florida, Gainesville, FL, USA., Dziegielewski P; Department of Otolaryngology, University of Florida, Gainesville, FL, USA., Edwards C; Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA., Hughley B; Department of Otolaryngology, University of Florida, Gainesville, FL, USA., Srihari A; Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA., Subbarayan S; Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA., Castro MR; Division of Endocrinology, Mayo Clinic, Rochester, MN, USA., Dean D; Division of Endocrinology, Mayo Clinic, Rochester, MN, USA., Morris J; Division of Endocrinology, Mayo Clinic, Rochester, MN, USA., Ryder M; Division of Endocrinology, Mayo Clinic, Rochester, MN, USA., Stan MN; Division of Endocrinology, Mayo Clinic, Rochester, MN, USA., Hargraves I; Knowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA., Shepel K; Knowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA., Brito JP; Knowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.; Division of Endocrinology, Mayo Clinic, Rochester, MN, USA., Bylund CL; Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA., Treise D; College of Journalism and Communications, University of Florida, Gainesville, FL, USA., Montori V; Knowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.; Division of Endocrinology, Mayo Clinic, Rochester, MN, USA., Singh Ospina N; Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA. Naykky.SinghOspina@medicine.ufl.edu.
Jazyk: angličtina
Zdroj: Endocrine [Endocrine] 2023 Apr; Vol. 80 (1), pp. 124-133. Date of Electronic Publication: 2022 Dec 19.
DOI: 10.1007/s12020-022-03277-4
Abstrakt: Purpose: To characterize the feedback of patients with thyroid nodules receiving care using a shared decision making (SDM) tool designed to improve conversations with their clinicians related to diagnostic options (e.g. thyroid biopsy, ultrasound surveillance).
Methods: Investigators qualitatively analyzed post-encounter interviews with patients to characterize their feedback of a SDM tool used during their clinical visits. Additionally, investigators counted instances of diagnostic choice awareness and of patients' expression of a diagnostic management preference in recordings of clinical encounters of adult patients presenting for evaluation of thyroid nodules in which the SDM tool was used.
Results: In total, 53 patients (42 (79%) women); median age 62 years were enrolled and had consultations supported by the SDM tool. Patients were favorable about the design of the SDM tool and its ability to convey information about options and support patient-clinician interactions. Patients identified opportunities to improve the tool through adding more content and improve its use in practice through training of clinicians in its use. There was evidence of diagnostic choice awareness in 52 (98%) of these visits and patients expressed a diagnostic management preference in 40 (76%).
Conclusion: User centered design including feedback from patients and real life observation supports the use of the SDM tool to facilitate collaboration between patients and clinicians.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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