Time of Clinic Appointment and Serious Illness Communication in Oncology.

ABSTRACT:

Introduction

Serious illness communication in oncology increases goal concordant care. Factors associated with the frequency of serious illness conversations are not well understood. Given prior evidence of the association between suboptimal decision-making and clinic time, we aimed to investigate the relationship between appointment time and the likelihood of serious illness conversations in oncology.

Methods

We conducted a retrospective study of electronic health record data from 55 367 patient encounters between June 2019 to April 2020, using generalized estimating equations to model the likelihood of a serious illness conversation across clinic time.

Results

Documentation rate decreased from 2.1 to 1.5% in the morning clinic session (8am-12pm) and from 1.2% to .9%

SUBMITTER: Kolla L 

PROVIDER: S-EPMC10126780 | biostudies-literature | 2023 Jan-Dec

REPOSITORIES: biostudies-literature