"Postponing it Any Later Would not be so Great": A Cognitive Interview Study of How Physicians Decide to Initiate Goals of Care Discussions in the Hospital.

Elizabeth J ChuangSabrina GugliuzzaAmmar AhmadMichael AboodiMichelle Ng GongAmber E Barnato

Published in: The American journal of hospice & palliative care (2023)

Participants were hesitant to commit to the present moment as the right time for GOC discussions based on variations in clinical presentation. Clinical decision support systems that include more targeted information about risk of clinical deterioration and likelihood of reversal of the acute condition may prompt physicians to discuss GOC, but more support for managing discomfort with uncertainty is also needed.

Keyphrases

clinical decision support
primary care
healthcare
electronic health record
liver failure
advance care planning
drug induced
respiratory failure
hepatitis b virus
adverse drug
social media
drug delivery
chronic pain
health insurance
mechanical ventilation