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A Provider-Facing D...
A Provider-Facing Decision Support Tool for Prostate Cancer Screening in Primary Care: A Pilot Study
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- Carlsson, Sigrid, 1982 (författare)
- Lund University,Lunds universitet,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology,Urologisk cancerforskning, Malmö,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Urological cancer, Malmö,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Sahlgrenska Academy,Memorial Sloan-Kettering Cancer Center
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- Preston, Mark A. (författare)
- Harvard Medical School
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- Vickers, Andrew (författare)
- Memorial Sloan-Kettering Cancer Center
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- Malhotra, Deepak (författare)
- Harvard Business School
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- Ehdaie, Behfar (författare)
- Memorial Sloan-Kettering Cancer Center
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- Healey, Michael J. (författare)
- Harvard Medical School
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- Kibel, Adam S. (författare)
- Harvard Medical School
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(creator_code:org_t)
- 2024
- 2024
- Engelska.
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Ingår i: APPLIED CLINICAL INFORMATICS. - 1869-0327. ; 15:02, s. 274-281
- Relaterad länk:
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http://dx.doi.org/10...
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- Objectives Our objective was to pilot test an electronic health record-embedded decision support tool to facilitate prostate-specific antigen (PSA) screening discussions in the primary care setting. Methods We pilot-tested a novel decision support tool that was used by 10 primary care physicians (PCPs) for 6 months, followed by a survey. The tool comprised (1) a risk-stratified algorithm, (2) a tool for facilitating shared decision-making (Simple Schema), (3) three best practice advisories (BPAs: <45, 45-75, and >75 years), and (4) a health maintenance module for scheduling automated reminders about PSA rescreening. Results All PCPs found the tool feasible, acceptable, and clear to use. Eight out of ten PCPs reported that the tool made PSA screening conversations somewhat or much easier. Before using the tool, 70% of PCPs felt confident in their ability to discuss PSA screening with their patient, and this improved to 100% after the tool was used by PCPs for 6 months. PCPs found the BPAs for eligible (45-75 years) and older men (>75 years) more useful than the BPA for younger men (<45 years). Among the 10 PCPs, 60% found the Simple Schema to be very useful, and 50% found the health maintenance module to be extremely or very useful. Most PCPs reported the components of the tool to be at least somewhat useful, with 10% finding them to be very burdensome. Conclusion We demonstrated the feasibility and acceptability of the tool, which is notable given the marked low acceptance of existing tools. All PCPs reported that they would consider continuing to use the tool in their clinic and were likely or very likely to recommend the tool to a colleague.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Nyckelord
- prostate cancer screening
- clinical decision support
- electronic health record
- pilot study
- informatics
- concordant care
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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