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Cardiologists' experiences and perceptions of patient involvement and communication related to shared decision-making

Eleni Siouta1, Ulla Hellström Muhli2, Bjöörn Fossum3

  • 1Karolinska Institutet.

Communication & Medicine
|June 30, 2018
PubMed

Insights

Cardiologists

Area of Science:

  • Cardiology
  • Medical Communication
  • Patient Engagement

Background:

  • Patient involvement in treatment decisions is crucial for atrial fibrillation (AF) care.
  • Supportive communication from cardiologists enhances patient engagement in AF treatment.
  • Understanding cardiologists' perspectives on patient involvement is essential for improving care.

Purpose of the Study:

  • To explore cardiologists' descriptions of patient involvement in AF treatment decisions.
  • To examine cardiologists' perceptions of communication strategies for shared decision-making in AF care.
  • To understand cardiologists' views on current efforts to involve patients in AF treatment decisions.

Main Methods:

  • Qualitative content analysis of interviews with ten cardiologists.
  • Interviews conducted across four Swedish hospitals.
  • Exploration of cardiologists' experiences and viewpoints on patient involvement.

Main Results:

  • Cardiologists frame patient involvement through ideology, experience, and responsibility.
  • Communication and supportive interactions are key elements in fostering patient involvement.
  • Perceptions of patient involvement vary based on these three framing factors.

Conclusions:

  • Actively encouraging patient involvement and considering their feelings enhances engagement in AF treatment decisions.
  • Improving physician-patient communication is vital for meeting legislative goals for patient involvement.
  • Optimizing conditions for patient involvement in decision-making can improve treatment compliance.
Abstract

Keywords:
atrial fibrillationcommunicationconsultationpatient involvementpatient participationshared decision-making

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