Use of Visual Decision Aids in Physician–Patient Communication
| Autor: | Mary Beth Mercer MPH, Susannah L Rose PhD, Cassandra Talerico PhD, Brian J Wells MD, PhD, Mahesh Manne MD, MPH, Nirav Vakharia MD, Stacey Jolly MD, Alex Milinovich BA, Janine Bauman RN, Michael W Kattan PhD |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Journal of Patient Experience, Vol 5 (2018) |
| Druh dokumentu: | article |
| ISSN: | 2374-3743 2374-3735 23743735 |
| DOI: | 10.1177/2374373517746177 |
| Popis: | Introduction: A risk calculator paired with a personalized decision aid (RC&DA) may foster shared decision-making in primary care. We assessed the feasibility of using an RC&DA with patients in a primary care outpatient clinic and patients’ experiences regarding communication and decision-making. Methods: This pilot study was conducted with 15 patients of 3 primary care physicians at a clinic within a tertiary medical center. An atherosclerotic cardiovascular disease (ASCVD) risk calculator was used to generate a personalized RC&DA that displayed absolute 10-year risk information as an icon array graphic. Patient perceptions of utility of the RC&DA, preferences for decision-making, and uncertainty with risk reduction decisions were measured with a semi-structured interview. Results: Patients reported that the RC&DA was easy to understand and knowledge gained was useful to modify their ASCVD risk. Patients used the RC&DA to make decisions and reported low uncertainty with those decisions. Conclusions: Our findings demonstrate the feasibility of, and positive patient experiences related to using, an RC&DA to facilitate shared decision-making between physicians and patients in an outpatient primary care setting. |
| Databáze: | Directory of Open Access Journals |
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