What Exactly Is Shared Decision-Making? A Qualitative Study of Shared Decision-Making in Lung Cancer Screening.

ABSTRACT:

Background

Shared decision-making (SDM) is widely recommended and required by the Centers for Medicare and Medicaid for patients considering lung cancer screening (LCS).

Objective

We examined clinicians' communication practices and perceived barriers of SDM for LCS at three medical centers with established screening programs.

Design

Multicenter qualitative study of clinicians participating in LCS.

Approach

We performed semi-structured interviews, which were transcribed and analyzed using directed content analysis, guided by a theoretical model of patient-clinician communication.

Participants

We interviewed 24 clinicians including LCS coordinators (2), pulmonologists (3), and primary care providers (17), 4 of whom worked for the LCS program, a thoracic su

SUBMITTER: Melzer AC 

PROVIDER: S-EPMC7018920 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature