A scoping review of decision regret in non-communicable diseases: The emerging roles of patient-clinician communication, psychological aspects, and medical outcomes.

Autor: Brera AS; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy., Arrigoni C; Department of Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, Pavia, Italy., Magon A; Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milano, Italy., Conte G; Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milano, Italy., Belloni S; Department of Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, Pavia, Italy., Bonavina L; Division of General and Foregut Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy., Shabat G; Division of General and Foregut Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy., Arcidiacono MA; Medical Department, University Hospital of Parma, Parma, Italy., Pasek M; Department of Nursing, Faculty of Health, University of Applied Sciences in Tarnów, Tarnów, Poland., Caruso R; Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milano, Italy; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy. Electronic address: rosario.caruso@grupposandonato.it.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2025 Jan; Vol. 130, pp. 108478. Date of Electronic Publication: 2024 Oct 18.
DOI: 10.1016/j.pec.2024.108478
Abstrakt: Objective: To map the existing literature on decision regret among patients with non-communicable diseases (NCDs) and develop an integrated framework to understand its impact on patient outcomes and healthcare processes.
Methods: A systematic search of PubMed, Embase, CINAHL, Cochrane Library, Google Scholar, and Scopus databases was conducted until January 2024 using the "Population, Concept, Context" framework. The review identified and analyzed 28 studies published between 2005 and 2023 in North America and Europe.
Results: Decision regret primarily arises from mismatches between expected and actual treatment outcomes and is strongly influenced by patient-clinician communication quality. The need for improved informed consent processes and enhanced communication strategies to mitigate regret emerged as prevalent themes. A hypothetical theoretical path was developed to define the relationship between patient expectations, medical outcomes, and emotional responses.
Conclusion: Enhanced communication and personalized treatment plans are crucial for addressing the multifaceted nature of regret in healthcare. Improved patient-clinician communication and informed consent processes can significantly reduce decision regret.
Practice Implications: Healthcare providers should focus on effective communication and education to personalize care strategies and align treatment decisions with patient expectations. This could ultimately reduce decision regret and improve patient outcomes.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Rosario Caruso reports financial support was provided by IRCCS Policlinico San Donato. Rosario Caruso reports a relationship with IRCCS Policlinico San Donato that includes employment. Other authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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