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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 3 of 3 Research Studies DisplayedSchuttner L, Hockett Sherlock S, Simons CE
My goals are not their goals: barriers and facilitators to delivery of patient-centered care for patients with multimorbidity.
This study’s goal was to clarify facilitators and barriers perceived by primary care physicians in the Veterans Health Administration to delivering patient-centered care for high-risk or complex patients with multimorbidity. The authors conducted semi-structured telephone interviews from April to July 2020 with 23 physicians across 20 clinical sites, with most being female (61%). Facilitators included: effective physician-patient communication to individualize care, prioritize among multiple needs, and elicit goals to improve patient engagement; access to care, enabled by interdisciplinary teams, and dictating personalized care planning; effortful but worthwhile care coordination and continuity; meeting complex needs through effective teamwork; and integrating medical and non-medical care aspects in recognition of patients' psychosocial contexts. Barriers included: intra- and interpersonal (e.g., perceived patient reluctance to engage in care); organizational (e.g., limited encounter time); and community or policy impediments (e.g., state decisional capacity laws) to patient-centered care.
AHRQ-funded; HS026369.
Citation: Schuttner L, Hockett Sherlock S, Simons CE .
My goals are not their goals: barriers and facilitators to delivery of patient-centered care for patients with multimorbidity.
J Gen Intern Med 2022 Dec;37(16):4189-96. doi: 10.1007/s11606-022-07533-1..
Keywords: Patient-Centered Healthcare, Healthcare Delivery, Chronic Conditions, Clinician-Patient Communication, Communication, Patient and Family Engagement
Rosenberg SM, Gierisch JM, Revette AC
"Is it cancer or not?" A qualitative exploration of survivor concerns surrounding the diagnosis and treatment of ductal carcinoma in situ.
This study investigated the impact of a ductal carcinoma in situ (DCIS) diagnosis by engaging self-identified patients regarding their experience. Findings showed that, in a large, national sample, participants with a history of DCIS reported confusion and concern about the diagnosis and treatment, which caused worry and significant uncertainty.
AHRQ-funded; HS023680.
Citation: Rosenberg SM, Gierisch JM, Revette AC .
"Is it cancer or not?" A qualitative exploration of survivor concerns surrounding the diagnosis and treatment of ductal carcinoma in situ.
Cancer 2022 Apr 15;128(8):1676-83. doi: 10.1002/cncr.34126..
Keywords: Cancer: Breast Cancer, Cancer, Shared Decision Making, Women, Patient-Centered Healthcare, Clinician-Patient Communication, Patient and Family Engagement, Communication
Boltey EM, Wright N, Mosley EA
Exploring the process of information sharing in an adult intensive care unit: an ethnographic study.
The purpose of this study was to examine how the process of information sharing takes place in the ICU from the perspectives of the professional team and family members. The researchers conducted ethnographic fieldwork focusing on behaviors and interactions of the interprofessional team and family members. Fieldwork of 17.5 observation hours, 6 shadowing sessions, and 12 semi-structured interviews with 17 total participants took place in a 20-bed medical ICU from May 2016 - October 2016. Three themes about the information sharing process were identified: 1) family factors influence information sharing; 2) clinician strategies can support engagement in the process of information sharing; and 3) the process of information sharing allows for trust building between ICU team and families. The researchers concluded that information sharing is a critical process that may act as a stimulus for effective ICU engagement with the patient and family.
AHRQ-funded; HS024552.
Citation: Boltey EM, Wright N, Mosley EA .
Exploring the process of information sharing in an adult intensive care unit: an ethnographic study.
J Interprof Care 2022 Mar-Apr;36(2):168-76. doi: 10.1080/13561820.2021.1899147..
Keywords: Intensive Care Unit (ICU), Clinician-Patient Communication, Patient and Family Engagement, Communication, Critical Care