The role of time in involving patients with cancer in treatment decision making: A scoping review.

Autor: Wieringa TH; Department of Biomedical Data Sciences, Leiden University Medical Center, the Netherlands; Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands., León-García M; Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain; Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN, USA; Department of Pediatrics, Obstetrics, Gynecology and Preventive Medicine, Universidad Autónoma de Barcelona, Barcelona, Spain., Espinoza Suárez NR; Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN, USA; VITAM - Center for Sustainable Health Research, Integrated University Health and Social Services Center of Capitale-Nationale, Quebec City, QC, Canada; Faculty of Nursing, Laval University, Quebec City, QC, Canada., Hernández-Leal MJ; Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN, USA; Department of Economics, Rovira i Virgili University, Tarragona, Spain; University of Navarra, School of Nursing, Department of Community, Maternity and Pediatric Nursing, Campus Universitario, 31008 Pamplona, Spain; Millennium Nucleus on Sociomedicine, 750908 Santiago, Chile., Jacome CS; Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN, USA; Division of Internal Medicine, Department of Medicine, Norwalk Hospital, Norwalk, CT, USA., Zisman-Ilani Y; Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA; Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London, UK., Otten RHJ; Walaeus Library, Leiden University Medical Center, Leiden, the Netherlands., Montori VM; Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN, USA., Pieterse AH; Department of Biomedical Data Sciences, Leiden University Medical Center, the Netherlands. Electronic address: A.H.Pieterse@lumc.nl.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2024 Aug; Vol. 125, pp. 108285. Date of Electronic Publication: 2024 Apr 22.
DOI: 10.1016/j.pec.2024.108285
Abstrakt: Background: Time is often perceived as a barrier to shared decision making in cancer care. It remains unclear how time functions as a barrier and how it could be most effectively utilized.
Objective: This scoping review aimed to describe the role of time in patient involvement, and identify strategies to overcome time-related barriers.
Methods: Seven databases were searched for any publications on patient involvement in cancer treatment decisions, focusing on how time is used to involve patients, the association between time and patient involvement, and/or strategies to overcome time-related barriers. Reviewers worked independently and in duplicate to select publications and extract data. One coder thematically analyzed data, a second coder checked these analyses.
Results: The analysis of 26 eligible publications revealed four themes. Time was a resource 1) to process the diagnosis, 2) to obtain/process/consider information, 3) for patients and clinicians to spend together, and 4) for patient involvement in making decisions.
Discussion: Time is a resource throughout the treatment decision-making process, and generic strategies have been proposed to overcome time constraints.
Practice Value: Clinicians could co-create decision-making timelines with patients, spread decisions across several consultations, share written information with patients, and support healthcare redesigns that allocate the necessary time.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Dr. Zisman-Ilani is a member of the PCORI Advisory Panel on Clinical Effectiveness and Decision Science (CEDS).
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: