"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 BarnatoPublished 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
- palliative care
- advance care planning
- respiratory failure
- quality improvement
- cancer therapy
- emergency department
- drug induced
- health information
- public health
- intensive care unit
- drug delivery
- global health
- mechanical ventilation