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Impact of a Prostate Specific Antigen Screening Decision Aid on Clinic Function
Christopher A Warlick1, Jerica M Berge2, Yen-Yi Ho3
1University of Minnesota Department of Urology, Minneapolis, MN, USA.
Urology Practice
|June 11, 2019
Summary
A prostate specific antigen (PSA) screening decision aid (DA) can improve shared decision making (SDM) and patient satisfaction in urban primary care clinics with minimal disruption to clinic flow.
Area of Science:
- Urology
- Primary Care Medicine
- Health Services Research
Background:
- Decision aids (DAs) for prostate cancer screening are underutilized due to cost and time constraints.
- Effective DAs can enhance patient knowledge and shared decision making (SDM).
Purpose of the Study:
- To assess the impact of a prostate specific antigen (PSA) screening DA on clinic flow and SDM in an urban primary care setting.
Main Methods:
- Men aged 50-75 viewed a PSA screening DA while awaiting physician appointments.
- Participants and physicians completed questionnaires on SDM; staff and physicians participated in focus groups.
Main Results:
- 50% of men discussed PSA screening; 85% found the DA eased decision-making.
- Patients reported high decision satisfaction and low decisional conflict after reading the DA for an average of 12.9 minutes.
- Physicians spent an average of 5.2 minutes discussing PSA screening; clinic staff reported increased enthusiasm after process adjustments.
Conclusions:
- A low-resource PSA DA can be implemented with staff involvement and minimal clinic flow disruption.
- This strategy may effectively facilitate SDM in urban primary care settings.
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