Using Shared Decision-Making Tools and Patient-Clinician Conversations About Costs.

ABSTRACT:

Objective

To determine how shared decision-making (SDM) tools used during clinical encounters that raise cost as an issue impact the incidence of cost conversations between patients and clinicians.

Patients and methods

A randomly selected set of 220 video recordings of clinical encounters were analyzed. Videos were obtained from eight practice-based randomized clinical trials and one quasi-randomized clinical trial (pre- and post-) comparing care with and without SDM tools. The secondary analysis took place in 2018 from trials ran between 2007 and 2015.

Results

Most patient participants were white (85%), educated (38% completed college), middle-aged (mean age 56 years), and female (61%). There were 105 encounters with and 115 without the SDM tool. Encounters with SDM

SUBMITTER: Espinoza Suarez NR 

PROVIDER: S-EPMC7411159 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature