Clinicians’ views on conversations and shared decision making in diagnostic testing for Alzheimer's disease
| Autor: | Wiesje M. van der Flier, Femke H. Bouwman, Marleen Kunneman, Ellen M. A. Smets, Niki S.M. Schoonenboom, Marissa D. Zwan, Ruth Pel-Littel |
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| Přispěvatelé: | Neurology, Amsterdam Neuroscience - Neurodegeneration, APH - Personalized Medicine, APH - Methodology, Epidemiology and Data Science, APH - Quality of Care, Medical Psychology |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Computer-assisted web interviewing Disease 03 medical and health sciences 0302 clinical medicine Medicine Dementia 030212 general & internal medicine Psychiatry Shared decision making Response rate (survey) business.industry Communication Memory clinic Diagnostic test Featured Article medicine.disease Focus group Test (assessment) Psychiatry and Mental health Diagnostic testing Alzheimer Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Alzheimer's and Dementia: Translational Research and Clinical Interventions, 3(3), 305-313. Elsevier Inc. Kunneman, M, Smets, E M A, Bouwman, F H, Schoonenboom, N S M, Zwan, M D, Pel-Littel, R & van der Flier, W M 2017, ' Clinicians’ views on conversations and shared decision making in diagnostic testing for Alzheimer's disease : The ABIDE project ', Alzheimer's and Dementia: Translational Research and Clinical Interventions, vol. 3, no. 3, pp. 305-313 . https://doi.org/10.1016/j.trci.2017.03.009 Alzheimer's & Dementia : Translational Research & Clinical Interventions Alzheimer s & dementia, 3(3), 305-313. Elsevier Inc. |
| ISSN: | 2352-8737 1552-5279 |
| Popis: | Introduction This study explores clinicians’ views on and experiences with when, how, and by whom decisions about diagnostic testing for Alzheimer's disease are made and how test results are discussed with patients. Methods Following a preparatory focus group with 13 neurologists and geriatricians, we disseminated an online questionnaire among 200 memory clinic clinicians. Results Respondents were 95 neurologists and geriatricians (response rate 47.5%). Clinicians (74%) indicated that decisions about testing are made before the first encounter, yet they favored a shared decision-making approach. Patient involvement seems limited to receiving information. Clinicians with less tolerance for uncertainty preferred a bigger say in decisions (P < .05). Clinicians indicated to always communicate the diagnosis (94%), results of different tests (88%–96%), and risk of developing dementia (66%). Discussion Clinicians favor patient involvement in deciding about diagnostic testing, but conversations about decisions and test results can be improved and supported. |
| Databáze: | OpenAIRE |
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