Stakeholder Research Priorities to Promote Implementation of Shared Decision-Making for Lung Cancer Screening: An American Thoracic Society and Veterans Affairs Health Services Research and Development Statement.
Stakeholder Research Priorities to Promote Implementation of Shared Decision-Making for Lung Cancer Screening: An American Thoracic Society and Veterans Affairs Health Services Research and Development Statement.
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促进肺癌筛查共同决策实施的利益相关者研究优先事项：美国胸科学会和退伍军人事务部健康服务研究与发展声明。
DOI：
10.1164/rccm.202201-0126st
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发表时间：
2022
影响因子：
24.7
通讯作者：
M
中科院分区：
文献类型：
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作者：
Wiener,RendaSoylemez;Barker,AnnaM;Carter-Harris,Lisa;Caverly,TannerJ;Crocker,DavidA;Denietolis,Angela;Doherty,Charlotte;Fagerlin,Angela;Gallagher-Seaman,Mary;Gould,MichaelK;Han,PaulKJ;Herbst,AbigailN;ItoFukunaga,Mayuko;M
理由：肺癌筛查（LCS）的共同决策（SDM）是指南中推荐的，也是医疗保险的要求，但在实践中很少实现。实施SDM为LCS的最佳方法仍然未知，和2021年美国预防服务工作组呼吁实施研究，以增加SDM的摄取为LCS.Objectives：制定一个股东优先的研究议程和建议的结果，以推进实施SDM为LCS.Methods：美国胸科学会和VA卫生服务研究和发展服务召集了一个多利益相关者委员会，在SDM，LCS，以病人为中心的护理，和实施科学的专业知识。在一个虚拟的最先进的会议上，我们审查了证据，并确定了研究问题，以解决障碍，实施SDM的LCS，以及结果的结构，这是由写作小组成员细化。我们的委员会（n = 34），然后排名的研究问题和SDM的有效性成果的感知重要性在online survey. Results：我们提出了我们的委员会的共识，对三个主题的重要实施SDM的LCS：1）的SDM的最佳实践的基本原则，2）利益相关者排名的22个实施研究问题;和3）建议的结果，包括普罗克特的实施结果和利益相关者对混合实施-有效性研究的SDM有效性结果的排名。我们的委员会将应用创新实施方法以减轻初级保健提供者对LCS的SDM的唯一责任的问题列为最高优先级。我们评价的有效性结构，捕捉病人的经验SDM作为最重要的。结论：本声明提供了一个企业家优先的研究议程和成果，以推进实施SDM LCS。
Rationale:Shared decision-making (SDM) for lung cancer screening (LCS) is recommended in guidelines and required by Medicare, yet it is seldom achieved in practice. The best approach for implementing SDM for LCS remains unknown, and the 2021 U.S. Preventive Services Task Force calls for implementation research to increase uptake of SDM for LCS.Objectives:To develop a stakeholder-prioritized research agenda and recommended outcomes to advance implementation of SDM for LCS.Methods:The American Thoracic Society and VA Health Services Research and Development Service convened a multistakeholder committee with expertise in SDM, LCS, patient-centered care, and implementation science. During a virtual State of the Art conference, we reviewed evidence and identified research questions to address barriers to implementing SDM for LCS, as well as outcome constructs, which were refined by writing group members. Our committee (n= 34) then ranked research questions and SDM effectiveness outcomes by perceived importance in an online survey.Results:We present our committee’s consensus on three topics important to implementing SDM for LCS:1) foundational principles for the best practice of SDM for LCS;2) stakeholder rankings of 22 implementation research questions; and3) recommended outcomes, including Proctor’s implementation outcomes and stakeholder rankings of SDM effectiveness outcomes for hybrid implementation–effectiveness studies. Our committee ranked questions that apply innovative implementation approaches to relieve primary care providers of the sole responsibility of SDM for LCS as highest priority. We rated effectiveness constructs that capture the patient experience of SDM as most important.Conclusions:This statement offers a stakeholder-prioritized research agenda and outcomes to advance implementation of SDM for LCS.