作者
Nataly R Espinoza Suarez, Christina M LaVecchia, Allison S Morrow, Karen M Fischer, Celia Kamath, Kasey R Boehmer, Juan P Brito
发表日期
2022/11/1
期刊
Patient Education and Counseling
卷号
105
期号
11
页码范围
3249-3258
出版商
Elsevier
简介
Objective
To explore how costs of care are discussed in real clinical encounters and what humanistic elements support them.
Methods
A qualitative thematic analysis of 41 purposively selected transcripts of video-recorded clinical encounters from trials run between 2007 and 2015. Videos were obtained from a corpus of 220 randomly selected videos from 8 practice-based randomized trials and 1 pre–post prospective study comparing care with and without shared decision making (SDM) tools.
Results
Our qualitative analysis identified two major themes: the first, Space Needed for Cost Conversations, describes patients’ needs regarding their financial capacity. The second, Caring Responses, describes humanistic elements that patients and clinicians can bring to clinical encounters to include good quality cost conversations.
Conclusion
Our findings suggest that strengthening patient-clinician human connections …
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NRE Suarez, CM LaVecchia, AS Morrow, KM Fischer… - Patient Education and Counseling, 2022