Impact of Cost Conversation on Decision-Making Outcomes.
Cost conversations
DCS, decisional conflict scale
SDM, shared decision-making
decision-making
shared decision making
Journal
Mayo Clinic proceedings. Innovations, quality & outcomes
ISSN: 2542-4548
Titre abrégé: Mayo Clin Proc Innov Qual Outcomes
Pays: Netherlands
ID NLM: 101728275
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
entrez:
17
8
2021
pubmed:
18
8
2021
medline:
18
8
2021
Statut:
epublish
Résumé
To understand the impact of cost conversations on the following decision-making outcomes: patients' knowledge about their conditions and treatment options, decisional conflict, and patient involvement. In 2020 we performed a secondary analysis of a randomly selected set of 220 video recordings of clinical encounters from trials run between 2007 and 2015. Videos were obtained from eight practice-based randomized trials and one pre-post-prospective study comparing care with and without shared decision-making (SDM) tools. The majority of trial participants were female (61%) and White (86%), with a mean age of 56, some college education (68%), and an income greater than or equal to $40,000 per year (75%), and who did not participate in an encounter aided by an SDM tool (52%). Cost conversations occurred in 106 encounters (48%). In encounters with SDM tools, having a cost conversation lead to lower uncertainty scores (2.1 vs 2.6, Cost conversations have a minimal but favorable impact on decision-making outcomes in clinical encounters, particularly when they occurred in encounters aided by an SDM tool that raises cost as an issue.
Identifiants
pubmed: 34401656
doi: 10.1016/j.mayocpiqo.2021.05.006
pii: S2542-4548(21)00073-4
pmc: PMC8358194
doi:
Types de publication
Journal Article
Langues
eng
Pagination
802-810Informations de copyright
© 2021 The Authors.
Références
J Clin Oncol. 2016 Mar 20;34(9):980-6
pubmed: 26811521
Ann Am Thorac Soc. 2014 Dec;11(10):1538-44
pubmed: 25375395
Cancer. 2017 Feb 1;123(3):476-484
pubmed: 27716900
J Oncol Pract. 2016 Mar;12(3):e281-8, 247-8
pubmed: 26883407
Ann Intern Med. 2019 May 7;170(9_Suppl):S54-S61
pubmed: 31060056
Ann Intern Med. 2019 May 7;170(9_Suppl):S33-S35
pubmed: 31060062
J Gen Intern Med. 2014 Jan;29(1):223-9
pubmed: 23881272
Circ Cardiovasc Qual Outcomes. 2012 May;5(3):251-9
pubmed: 22496116
J Oncol Pract. 2019 Aug;15(8):e690-e703
pubmed: 31162996
J Oncol Pract. 2014 May;10(3):162-7
pubmed: 24839274
Health Aff (Millwood). 2013 Feb;32(2):338-46
pubmed: 23381527
J Gen Intern Med. 2013 Jun;28(6):838-44
pubmed: 23307397
Gynecol Oncol. 2018 Jul;150(1):3-6
pubmed: 29778508
Psychiatr Serv. 2017 Jun 1;68(6):610-617
pubmed: 28292225
Perm J. 2017;21:16-070
pubmed: 28406786
J Oncol Pract. 2017 Nov;13(11):e944-e956
pubmed: 28834684
BMC Health Serv Res. 2014 Sep 25;14:435
pubmed: 25252706
Med Decis Making. 1995 Jan-Mar;15(1):25-30
pubmed: 7898294
Thyroid. 2015 Nov;25(11):1191-8
pubmed: 26413979
N Engl J Med. 2013 Oct 17;369(16):1484-6
pubmed: 24131175
Cochrane Database Syst Rev. 2011 Oct 05;(10):CD001431
pubmed: 21975733
Am J Med. 2011 Jun;124(6):549-56
pubmed: 21605732
Cleve Clin J Med. 2004 May;71(5):433-7
pubmed: 15195778
Med Decis Making. 2016 Oct;36(7):900-10
pubmed: 26785714
J Clin Oncol. 2009 Aug 10;27(23):3868-74
pubmed: 19581533
J Oncol Pract. 2018 Mar;14(3):187-192
pubmed: 29091534
Arch Intern Med. 2007 May 28;167(10):1076-82
pubmed: 17533211
Ann Am Thorac Soc. 2014 Dec;11(10):1608-9
pubmed: 25549026
Mayo Clin Proc Innov Qual Outcomes. 2020 Aug 05;4(4):416-423
pubmed: 32793869
Health Aff (Millwood). 2014 Oct;33(10):1851-60
pubmed: 25214470
Trials. 2013 May 07;14:127
pubmed: 23782672
BMJ Open. 2014 Jan 14;4(1):e004027
pubmed: 24430879
J Gen Intern Med. 2011 Dec;26(12):1458-64
pubmed: 21751052
Issue Brief (Commonw Fund). 2014 Nov;29:1-11
pubmed: 25423680
Pain Physician. 2017 Mar;20(3):111-138
pubmed: 28339427
Am J Manag Care. 2015 Sep;21(9):607-15
pubmed: 26618364
Med Decis Making. 2009 Jan-Feb;29(1):61-8
pubmed: 19196706
Diabetes Care. 2018 May;41(5):917-928
pubmed: 29567642
BMC Health Serv Res. 2016 Mar 31;16:108
pubmed: 27036177
MMWR Morb Mortal Wkly Rep. 2017 Feb 03;66(4):121
pubmed: 28151927
Cochrane Database Syst Rev. 2017 Apr 12;4:CD001431
pubmed: 28402085
J Gen Intern Med. 2005 Jul;20(7):666-9
pubmed: 16050867
JAMA. 2003 Aug 20;290(7):953-8
pubmed: 12928475
PLoS One. 2015 May 26;10(5):e0128063
pubmed: 26010755
Health Expect. 2005 Mar;8(1):34-42
pubmed: 15713169