Gaps in Patient-Centered Decision-Making Related to Complex Surgery: A Mixed-Methods Study.

Autor: Palmer Kelly E; Department of Surgery, Comprehensive Cancer Center, Columbus, Ohio., Rush LJ; The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, Ohio., Eramo JL; The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, Ohio., Melnyk HL; The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, Ohio., Tarver WL; The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, Ohio; Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, Ohio., Waterman BL; Division of Palliative Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio., Gustin J; Division of Palliative Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio., Pawlik TM; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio. Electronic address: tim.pawlik@osumc.edu.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2024 Mar; Vol. 295, pp. 740-745. Date of Electronic Publication: 2023 Dec 23.
DOI: 10.1016/j.jss.2023.11.070
Abstrakt: Introduction: We sought to understand the perceptions of surgeons around patient preferred roles in decision-making and their approaches to patient-centered decision-making (PCDM).
Methods: A concurrent embedded mixed-methods design was utilized among a cohort of surgeons performing complex surgical procedures. Data were collected through online surveys. Associations between perceptions and PCDM approaches were examined.
Results: Among 241 participants, most respondents were male (67.2%) with an average age of 47.6 y (standard deviation = 10.3); roughly half (52.4%) had practiced medicine for 10 or more years. Surgeons most frequently agreed (94.2%) with the statement, "Patients prefer to make health decisions on their own after seriously considering their physician's opinion." Conversely, surgeons most frequently disagreed (73.0%) with the statement, "Patients prefer that their physician make health decisions for them." Nearly one-third (30.4%) of surgeon qualitative responses (n = 115) indicated that clinical/biological information would help them tailor their approach to PCDM. Only 12.2% of respondents indicated that they assess patient preferences regarding both decision-making and information needs.
Conclusions: Surgeons most frequently agree that patients want to make their own health decisions after seriously considering their physicians opinion. A greater focus on what information surgeons should know before treatment decision-making may help optimize patient experience and outcomes related to complex surgical procedures.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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