How Health-Care Organizations Implement Shared Decision-making When It Is Required for Reimbursement: The Case of Lung Cancer Screening.

ABSTRACT:

Background

The Centers for Medicare and Medicaid Services stipulate shared decision-making (SDM) counseling as a prerequisite to lung cancer screening (LCS) reimbursement, despite well-known challenges implementing SDM in practice.

Research question

How have health-care organizations implemented SDM for LCS?

Study design and methods

For this qualitative study, we used data from in-depth, semistructured interviews with key informants directly involved in implementing SDM for LCS, managing SDM for LCS, or both. We identified respondents using a snowball sampling technique and used template analysis to identify and analyze responses thematically.

Results

We interviewed 30 informants representing 23 health-care organizations located in 12 states and 4 Census region

SUBMITTER: Alishahi Tabriz A 

PROVIDER: S-EPMC7893305 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature