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Consequences of Not Respecting Patient Preferences for Cancer Screening

Consequences of Not Respecting Patient Preferences for Cancer Screening PERSPECTIVES Consequences of Not Respecting Patient Preferences for Cancer Screening Opportunity Lost 60-YEAR-OLD WOMAN PRESENTED TO HER However, decision support is most effective as part of a physician for an annual physical exami- shared decision-making process, in which physician nation. As part of the examination, she and patient discussion leads to a mutual decision that is and her physician discussed colorectal both evidence based and incorporates the patient’s A cancer screening, which her physician had preferences. discussed with her at her last yearly physical. The deci- The physician had good intentions in terms of rec- sion at that time had been for colonoscopy, and the pa- ommending that the patient be screened for colorectal tient was referred to the gastroenterologist. Since the pa- cancer and helping the patient make an informed tient never followed through with the colonoscopy, the choice by providing high-quality information and topic was broached again. As part of a quality improve- decision support. The patient also did her part to ment initiative designed to promote shared decision- become an active and informed participant in the making, the patient was given a decision support inter- decision-making process. However, although the evi- vention (DESI) to review the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Consequences of Not Respecting Patient Preferences for Cancer Screening

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Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2012.58
pmid
22412105
Publisher site
See Article on Publisher Site

Abstract

PERSPECTIVES Consequences of Not Respecting Patient Preferences for Cancer Screening Opportunity Lost 60-YEAR-OLD WOMAN PRESENTED TO HER However, decision support is most effective as part of a physician for an annual physical exami- shared decision-making process, in which physician nation. As part of the examination, she and patient discussion leads to a mutual decision that is and her physician discussed colorectal both evidence based and incorporates the patient’s A cancer screening, which her physician had preferences. discussed with her at her last yearly physical. The deci- The physician had good intentions in terms of rec- sion at that time had been for colonoscopy, and the pa- ommending that the patient be screened for colorectal tient was referred to the gastroenterologist. Since the pa- cancer and helping the patient make an informed tient never followed through with the colonoscopy, the choice by providing high-quality information and topic was broached again. As part of a quality improve- decision support. The patient also did her part to ment initiative designed to promote shared decision- become an active and informed participant in the making, the patient was given a decision support inter- decision-making process. However, although the evi- vention (DESI) to review the

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Mar 12, 2012

References