Multiple constraints compromise decision-making about implantable medical devices for individual patients: qualitative interviews with physicians.

Anna R GagliardiAriel DuceyPascale LehouxThomas TurgeonJeremy KolbunikSue RossPatricia TrbovichAnthony EastyChaim BellDavid R Urbach

Published in: BMC medical informatics and decision making (2017)

This study revealed that decision-making about devices is complex, cognitively challenging and constrained by several factors limiting access to and use of devices that could optimize patient outcomes. Further research is needed to assess the impact of these constraints on clinical outcomes, and develop interventions that optimize decision-making about device choice for treating given patients.

Keyphrases

decision making
end stage renal disease
ejection fraction
newly diagnosed
chronic kidney disease
prognostic factors
primary care
peritoneal dialysis
cognitive decline