Related Experiment Video
Updated: Jul 11, 2025
08:36
The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
Published on: July 28, 2022
3.8K
Shared Decision-Making During Virtual Care Regarding Rheumatologic and Chronic Conditions: Qualitative Study of
Lisa Zickuhr1, Catherine McCarthy2, Emma Nolan-Thomas3
1Washington University in St. Louis School of Medicine, St. Louis, Missouri.
ACR Open Rheumatology
|November 15, 2023
Summary
Virtual care (VC) can enhance shared decision-making (SDM) for rheumatologic and chronic conditions (RCCs) when implemented effectively. Optimizing VC for SDM requires skilled use and integrated health systems, benefiting patients and providers.
Area of Science:
- Rheumatology
- Digital Health
- Health Services Research
Background:
- Virtual care (VC) is increasingly adopted for patient care.
- Shared decision-making (SDM) is crucial for patients with rheumatologic and chronic conditions (RCCs).
- Existing research indicates potential deficits in SDM quality during VC.
Purpose of the Study:
- To explore the benefits and challenges of SDM within VC for RCC patients.
- To identify strategies for optimizing the use of VC in SDM for RCCs.
Main Methods:
- Focus groups with patients and providers experiencing SDM in VC.
- Content analysis of transcripts to identify themes, facilitators, and barriers.
- Inductive reasoning to understand relationships among identified themes.
Main Results:
- VC-based SDM shares similarities with in-person SDM, including trust and communication.
- VC can overcome in-person SDM barriers by increasing decision time and access.
- New technological and system-based barriers to SDM in VC were identified, along with proposed solutions.
Conclusions:
- VC can potentially improve SDM for RCCs compared to in-person visits if implemented skillfully.
- Successful integration of SDM into VC necessitates developing nuanced skills for appropriate VC use.
- Collaborative efforts from patients, providers, insurers, and policymakers are essential for successful SDM in VC.
Related Concept Videos
01:27Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
01:20Rheumatic Heart Disease IV: Nursing Management
14
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
14
01:28Chronic Kidney Disease III: Interprofessional Care
13
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
13
01:15Methods of Documentation VI: Case Management Model
576
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
576
01:21Rheumatic Heart Disease III: Medical Management
11
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
11
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K