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Implementing patient decision support tools: moving beyond academia?

James D Harrison1, Lindy Masya, Phyllis Butow

  • 1Surgical Outcomes Research Centre, Sydney South West Area Health Service & School of Public Health, University of Sydney, Sydney, NSW, Australia. james.harrison@email.cs.nsw.gov.au

Patient Education and Counseling
|January 23, 2009
PubMed
Abstract

Insights

Surgeons find decision support tools (DSTs) for rectal cancer useful but not feasible for current surgical consultations due to implementation barriers. Further studies are needed to guide DST development and integration.

Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Health Informatics

Background:

  • Decision support tools (DSTs) aim to aid patient and clinician decision-making in healthcare.
  • Rectal cancer treatment involves complex decisions requiring effective communication and information sharing.

Purpose of the Study:

  • To evaluate the feasibility of integrating three DSTs for rectal cancer patients into surgical consultations.
  • To identify surgeon perspectives on the utility and barriers to DST implementation.

Main Methods:

  • Qualitative study involving focus groups and individual interviews with 20 colorectal surgeons.
  • Quantitative data collected via self-administered questionnaires.
  • Exploration of surgeon feedback on DST concept, usefulness, and implementation challenges.

Main Results:

  • Surgeons viewed DSTs positively but noted significant implementation barriers.
  • While 70-75% found DSTs useful, most felt they were not feasible in their current form for surgical consultations.
  • Key barriers included time constraints, patient factors, tool content, and potential impact on the doctor-patient relationship.

Conclusions:

  • Surgeons have identified substantial barriers to the routine clinical implementation of DSTs for rectal cancer.
  • Feasibility and implementation studies are crucial for guiding the development and effective integration of DSTs into practice.

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