Navigating shared decision-making in lung cancer screening: Insights into barriers, training, and referral propensity among clinicians.

ABSTRACT:

Objectives

Shared decision-making (SDM) is critical in lung cancer screening (LCS), enabling clinicians to guide patients through complex benefit-risk discussions. Despite its endorsement by professional organizations and its Medicare reimbursement requirement, SDM implementation in clinical practice remains inconsistent. This cross-sectional study evaluated factors influencing clinician knowledge, attitudes, and referral behaviors regarding LCS within a decentralized screening program.

Methods

We surveyed 125 primary care clinicians (PCCs) in a large integrated health system, linking responses to electronic health record data to assess LCS referral propensity. Clinicians reported perceived barriers to SDM, attitudes toward SDM and LCS, and knowledge via clinical vignettes.

SUBMITTER: Carter-Bawa L 

PROVIDER: S-EPMC12824888 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature