CHEST Guidelines-In-person-and-Telephonic-Shared-Decision-making-Vi

In-person-and-Telephonic-Shared-Decision-making-Vi

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The article discusses the complexity of decision-making for lung cancer screening (LCS) and the effectiveness of shared decision-making (SDM) visits, which are crucial for patient satisfaction and reducing decisional conflict. The study compared in-person and telephonic SDM visits to assess their impact on decision quality and patient satisfaction. Conducted as a prospective observational study, it involved participants from the Medical University of South Carolina and the Ralph H. Johnson Veterans Affairs Hospital.<br /><br />Participants underwent either in-person or telephone SDM visits, and follow-up surveys were conducted one month later to evaluate the outcomes. The study found no significant differences between the two groups regarding patient demographics or satisfaction levels. Most participants (75.9%) were at high risk for lung cancer according to standardized models, and a high percentage (88.3%) chose to undergo LCS after SDM visits, irrespective of the visit method.<br /><br />Both methods of SDM delivery achieved high decision quality and little decisional conflict, showing the potential for telephonic SDM to improve logistics and convenience for patients. The Centers for Medicare & Medicaid Services currently require an in-person SDM visit, but this study suggests alternative methods can be equally effective and might expand access.<br /><br />The findings highlight the importance of individualized risk assessment and thorough discussions about the pros and cons of screening. This study is the first of its kind to examine decision quality following SDM for LCS, providing valuable insights into potential improvements in patient outreach and decision-making processes for lung cancer screening.

Keywords

lung cancer screening

shared decision-making

patient satisfaction

decisional conflict

in-person visits

telephonic visits

decision quality

risk assessment

Medicare requirements

patient outreach