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Related Concept Videos

Decision Making01:20

Decision Making

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Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
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The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
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The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
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Evaluating Shared Decision Making for Lung Cancer Screening.

Alison T Brenner1,2, Teri L Malo2, Marjorie Margolis3

  • 1Division of General Medicine and Clinical Epidemiology, University of North Carolina School of Medicine, University of North Carolina at Chapel Hill.

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Summary
This summary is machine-generated.

Shared decision making for lung cancer screening (LCS) quality is poor in practice. Discussions of harms are absent, and decision aids are not used, falling short of guidelines.

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Area of Science:

  • Medical Communication
  • Preventive Medicine
  • Health Services Research

Background:

  • Shared decision making (SDM) is recommended for lung cancer screening (LCS) initiation.
  • Medicare requires SDM with decision aids for LCS coverage.
  • Current practice of SDM for LCS is not well understood.

Purpose of the Study:

  • To assess the quality of SDM during the initiation of LCS in clinical practice.

Main Methods:

  • Qualitative content analysis of 14 recorded patient-physician conversations about LCS initiation.
  • Physician communication behaviors assessed using the OPTION scale.
  • Analysis included time spent discussing LCS and decision aid use.

Main Results:

  • The mean SDM quality score (OPTION scale) was 6/100, indicating poor quality.
  • Discussion of LCS harms was virtually absent.
  • LCS discussion averaged less than one minute, with no decision aid use.

Conclusions:

  • Observed SDM quality for LCS initiation is poor.
  • Key components of SDM, like discussing harms and using decision aids, are largely missing.
  • Practice falls significantly short of recommended SDM standards for LCS.