دورية أكاديمية
أعرض في EDS

Exploring the MAPPING application to facilitate risk communication and shared decision-making between physicians and patients with gynaecological cancer.

التفاصيل البيبلوغرافية
العنوان: Exploring the MAPPING application to facilitate risk communication and shared decision-making between physicians and patients with gynaecological cancer.
المؤلفون: Koning M; Amsterdam UMC Locatie AMC, Amsterdam, Noord-Holland, The Netherlands., Lok C; Centre for Gynecological Oncology Amsterdam (CGOA), Amsterdam, The Netherlands.; NKI, Amsterdam, Noord-Holland, The Netherlands., Ubbink DT; Amsterdam UMC Locatie AMC, Amsterdam, Noord-Holland, The Netherlands., Aarts JWM; Centre for Gynecological Oncology Amsterdam (CGOA), Amsterdam, The Netherlands j.w.m.aarts@amsterdamumc.nl.; Department of Obstetrics & Gynaecology, Amsterdam UMC Location VUmc, Amsterdam, Noord-Holland, The Netherlands.
المصدر: BMJ open quality [BMJ Open Qual] 2024 Aug 19; Vol. 13 (3). Date of Electronic Publication: 2024 Aug 19.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101710381 Publication Model: Electronic Cited Medium: Internet ISSN: 2399-6641 (Electronic) Linking ISSN: 23996641 NLM ISO Abbreviation: BMJ Open Qual Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BMJ Publishing Group
مواضيع طبية MeSH: Decision Making, Shared* , Genital Neoplasms, Female*/psychology , Physician-Patient Relations* , Communication*, Humans ; Female ; Middle Aged ; Surveys and Questionnaires ; Adult ; Aged ; Male ; Physicians/psychology ; Physicians/statistics & numerical data ; Patient Participation/methods ; Patient Participation/psychology ; Patient Participation/statistics & numerical data
مستخلص: This is an observational study in which we evaluated current levels of risk communication (RC) among gynaecological oncologists and their view on the Mapping All Patient Probabilities in Numerical Graphs (MAPPING) application as a possible tool to facilitate RC and shared decision-making (SDM). In part A, we audio-recorded 29 conversations between gynaecological oncologists and patients when discussing treatment options. In part B, interviews were performed with eight gynaecological oncologists.RC and SDM were measured using two observer-based measures, that is, the RC content (RCC) tool (scale 0-2) and the OPTION-5 instrument (scale 0-100). We used CollaboRATE questionnaire (scale 0-10) and a self-developed survey to assess patient-reported RC and SDM. In part B, we evaluated physicians' attitudes regarding the use of the MAPPING application to support RC. Patients were minimally involved in the decision-making process (OPTION-5 25.9%±13.4 RCC 0.21±0.18). Patient-reported SDM was high (mean collaboRATE score 9.19±1.79) and patients preferred receiving numeric information, whereas most physicians used qualitative risk terms rather than exact numbers. In part B, gynaecologists had a positive attitude towards the MAPPING application. However, they stated that the app was difficult to use improvement of layout and better implementations are needed.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: Decision support, clinical; Obstetrics and gynecology; Shared decision making
تواريخ الأحداث: Date Created: 20240819 Date Completed: 20240819 Latest Revision: 20240823
رمز التحديث: 20240823
مُعرف محوري في PubMed: PMC11337712
DOI: 10.1136/bmjoq-2024-002776
PMID: 39160112
قاعدة البيانات: MEDLINE
الوصف
تدمد:2399-6641
DOI:10.1136/bmjoq-2024-002776