Physicians' perspectives on communication and decision making in clinical encounters for treatment of latent tuberculosis infection
| العنوان: | Physicians' perspectives on communication and decision making in clinical encounters for treatment of latent tuberculosis infection |
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| المؤلفون: | Carol L. Armour, Claudia C. Dobler, Sinthia Bosnic-Anticevich |
| المصدر: | ERJ Open Research ERJ Open Research, Vol 4, Iss 1 (2018) |
| بيانات النشر: | European Respiratory Society (ERS), 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, medicine.medical_specialty, Tuberculosis, Latent tuberculosis, business.industry, lcsh:R, lcsh:Medicine, Original Articles, bacterial infections and mycoses, medicine.disease, 3. Good health, Clinical Practice, 03 medical and health sciences, 0302 clinical medicine, Ltbi treatment, Framing (social sciences), 030228 respiratory system, Family medicine, medicine, 030212 general & internal medicine, Treatment decision making, Adverse effect, business |
| الوصف: | The aim of the study was to explore the views of tuberculosis (TB) physicians on treatment of latent TB infection (LTBI), focusing on decision making and communication in clinical practice. 20 Australian TB physicians participated in a semistructured interview in person or over the telephone. Interviews were recorded, transcribed and analysed thematically. The study identified challenges that physicians face when discussing treatment for LTBI with patients. These included difficulties explaining the concept of latency (in particular to patients from culturally and linguistically diverse backgrounds) and providing guidance to patients while still framing treatment decisions as a choice. Tailored estimates of the risk of developing TB and the risk of developing an adverse effect from LTBI treatment were considered the most important information for decision making and discussion with patients. Physicians acknowledged that there is a significant amount of unwarranted treatment variation, which they attributed to the lack of evidence about the risk–benefit balance of LTBI treatment in certain scenarios and guidelines that refer to the need for case-by-case decision making in many instances. In order to successfully implement LTBI treatment at a clinical level, consideration should be given to research on how to best address communication challenges arising in clinical encounters. Overcoming challenges in clinical encounters is essential for implementation of treatment of latent TB infection http://ow.ly/HEFu30izBUu |
| تدمد: | 2312-0541 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::23884c8652a00caf4e498f753d83f004 https://doi.org/10.1183/23120541.00146-2017 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....23884c8652a00caf4e498f753d83f004 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23120541 |
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