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Provider Perception...
Provider Perceptions of an Electronic Health Record Prostate Cancer Screening Tool
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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,Memorial Sloan-Kettering Cancer Center,Sahlgrenska Academy
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- Preston, Mark (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 (författare)
- Harvard Medical School,Brigham and Women's Hospital / 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. 282-294
- 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 We conducted a focus group to assess the attitudes of primary care physicians (PCPs) toward prostate-specific antigen (PSA)-screening algorithms, perceptions of using decision support tools, and features that would make such tools feasible to implement. Methods A multidisciplinary team (primary care, urology, behavioral sciences, bioinformatics) developed the decision support tool that was presented to a focus group of 10 PCPs who also filled out a survey. Notes and audio-recorded transcripts were analyzed using Thematic Content Analysis. Results The survey showed that PCPs followed different guidelines. In total, 7/10 PCPs agreed that engaging in shared decision-making about PSA screening was burdensome. The majority (9/10) had never used a decision aid for PSA screening. Although 70% of PCPs felt confident about their ability to discuss PSA screening, 90% still felt a need for a provider-facing platform to assist in these discussions. Three major themes emerged: (1) confirmatory reactions regarding the importance, innovation, and unmet need for a decision support tool embedded in the electronic health record; (2) issues around implementation and application of the tool in clinic workflow and PCPs' own clinical bias; and (3) attitudes/reflections regarding discrepant recommendations from various guideline groups that cause confusion. Conclusion There was overwhelmingly positive support for the need for a provider-facing decision support tool to assist with PSA-screening decisions in the primary care setting. PCPs appreciated that the tool would allow flexibility for clinical judgment and documentation of shared decision-making. Incorporation of suggestions from this focus group into a second version of the tool will be used in subsequent pilot testing.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Nyckelord
- shared decision-making
- prostate cancer
- screening
- decision support
- electronic health record
- oncology
- clinical decision support
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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