Aerosp Am 2004 Feb;42(2):10-3
Patient Educ Couns 2022 Jul 25. Epub 2022 Jul 25.
Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN, USA; Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, MN, USA. Electronic address:
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. Read More
Mayo Clin Proc Innov Qual Outcomes 2022 Aug 25;6(4):320-326. Epub 2022 Jun 25.
Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN.
Objective: To investigate the impact of cost conversations occurring with or without the use of encounter shared decision-making (SDM) tools in medication adherence.Patients And Methods: Using a coding scheme that included the occurrence and characteristics of cost conversation, we analyzed a randomly selected sample of 169 video recordings of clinical encounters. These videos were obtained during the conduct of practice-based randomized clinical trials comparing care with and without SDM tools for patients with diabetes, osteoporosis, and depression. Read More
Crit Care Nurs Clin North Am 2022 Mar 19;34(1):1-12. Epub 2022 Jan 19.
1 Jarrett White Road, Honolulu, HI, USA. Electronic address:
The IMPACT-ICU program provides staff with tools that make difficult palliative conversations easier; introduces the "3 conversations," incorporates role-play activities, and provides for continued coaching. This program is highly relevant to the military health system, which typically lacks a specialized palliative care service. It is easily transferable to any environment to include austere locations as well as other disparate health care institutions. Read More
PLoS One 2021 2;16(12):e0260805. Epub 2021 Dec 2.
Verilogue, Philadelphia, Pennsylvania, United States of America.
Background: Hereditary angioedema (HAE) is a rare disease that manifests as recurrent and debilitating angioedema attacks, significantly impacting patients' quality of life.Objective: To assess communication dynamics between patients with HAE and treating physicians and the impact this has on the treatment of HAE in the United States.Methods: This observational study used an institutional review board-approved protocol to collect four sources of patient-physician communication data from the period between January 2015 and May 2017: in-office conversations between patients aged ≥18 years with HAE and physicians, follow-up dictations with physicians, telephone interviews with patients and physicians, and publicly available social media posts from patients. Read More
Endocrine 2022 Feb 9;75(2):377-391. Epub 2021 Sep 9.
Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Purpose: To determine the effectiveness of a shared decision-making (SDM) tool versus guideline-informed usual care in translating evidence into primary care, and to explore how use of the tool changed patient perspectives about diabetes medication decision making.Methods: In this mixed methods multicenter cluster randomized trial, we included patients with type 2 diabetes mellitus and their primary care clinicians. We compared usual care with or without a within-encounter SDM conversation aid. Read More