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Clinicians' perceptions of digital vs. paper-based decision support interventions.

Mary C Politi1, Prajakta Adsul, Marie D Kuzemchak

  • 1Division of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.

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Summary

Clinicians see value in both digital and paper patient decision support interventions (DESIs), but implementation requires flexible approaches. Factors like patient age and socioeconomic status influence format preference, necessitating tailored strategies for wider adoption.

Keywords:
behavioural sciencedecision aidsdoctor-patient relationshiphealth communicationshared decision making

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Area of Science:

  • Health Services Research
  • Medical Informatics
  • Patient Engagement

Background:

  • Patient decision support interventions (DESIs) are valuable but lack standardized formats.
  • Understanding clinician perceptions is crucial for effective DESI adoption.
  • Optimal DESI formats require further investigation to improve healthcare decision-making.

Purpose of the Study:

  • To assess clinicians' perceptions of different patient decision support intervention (DESI) formats.
  • To explore clinicians' views on the potential use of DESIs in clinical practice.
  • To identify factors influencing the adoption of various DESI formats.

Main Methods:

  • Semi-structured qualitative interviews with physicians across diverse specialties.
  • Exploration of perceptions regarding digital versus paper DESI formats and administration timing.
  • Thematic analysis of qualitative data on clinician attitudes, self-efficacy, and feasibility.

Main Results:

  • Clinicians recognized complementary strengths in both comprehensive digital and concise paper DESI formats.
  • DESIs are perceived as beneficial for supplementing in-consultation discussions, especially for complex cancer decisions.
  • Patient demographics (age, socioeconomic status) and practice resource availability (internet, computers) influence preferred DESI format.

Conclusions:

  • Clinician perceptions of DESI value vary based on provider, patient, and clinic characteristics.
  • A one-size-fits-all implementation strategy for DESIs is unlikely to be effective.
  • Flexible, tailored approaches are necessary to enhance the adoption and impact of patient decision support interventions.