2023 World Conference on Lung Cancer (Posters)-EP04.05. Centralized Shared Decision Making in Lung Cancer Screening: Unexpected Consequences

EP04.05. Centralized Shared Decision Making in Lung Cancer Screening: Unexpected Consequences - PDF(Abstract)

Pdf Summary

This study examined the impact of a centralized shared decision-making (SDM) approach in lung cancer screening. The researchers recruited 24 screening participants and 12 physicians for in-depth interviews. The participants had already undergone a SDM session with a nurse practitioner, while the physicians were comfortable referring participants to the centralized SDM process. <br /><br />Results showed that over half of the participants felt that their referring physician did not have sufficient communication with them prior to the referral. However, only two patients declined to be screened, as most found the decision to be easy based on their perception of their physician's recommendation and understanding of screening benefits. <br /><br />The referring physicians recognized the importance of lung cancer screening and understood the eligibility criteria. However, they had inconsistent knowledge of the SDM elements, with only half feeling familiar with how it should be carried out. <br /><br />The use of centralized SDM was intended to alleviate time constraints for physicians, but it resulted in inconsistent knowledge among them. Participants perceived a lack of communication with their physician, and some believed that the decision to participate had already been made for them, undermining the SDM process. <br /><br />In conclusion, the centralized SDM approach led to inconsistent knowledge among physicians and a perceived lack of communication between participants and their physicians. It also raised questions about the effectiveness of the SDM process when participants felt the decision had already been made for them.

Asset Subtitle

David Yankelevitz

Meta Tag

Speaker David Yankelevitz

Topic Screening & Early Detection: Program Design

Keywords

centralized shared decision-making

lung cancer screening

screening participants

physicians

communication

perception

screening benefits

eligibility criteria

knowledge

participants