Sandra A Hartasanchez1, Anja Fog Heen2, Marleen Kunneman3, Andrea García-Bautista1, Ian G Hargraves1, Larry J Prokop4, Carl R May5, Victor M Montori6. 1. Knowledge and Evaluation Research Unit, Department of Medicine, Mayo Clinic, Rochester, MN, USA. 2. Knowledge and Evaluation Research Unit, Department of Medicine, Mayo Clinic, Rochester, MN, USA; Department of Medicine, Lovisenberg Diaconal Hospital, Oslo, Norway. 3. Knowledge and Evaluation Research Unit, Department of Medicine, Mayo Clinic, Rochester, MN, USA; Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands. 4. Mayo Clinic Libraries, Rochester, MN, USA. 5. Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK. 6. Knowledge and Evaluation Research Unit, Department of Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address: montori.victor@mayo.edu.
Abstract
OBJECTIVES: To assess the extent to which shared decision making (SDM) can take place in telemedicine (remote SDM). METHODS: We searched Medline, Cochrane, and Scopus from 2010 until August 7th, 2020 for articles on remote SDM in the care of any patient using any technology. We also conducted a search for telemedicine articles citing key reports on SDM outcome measures. Two reviewers independently screened titles and abstracts, reviewed full text eligible studies, and synthesized their content using thematic analysis. RESULTS: Of the 12 eligible articles, most were European with patients with chronic disease or mental and behavioral health. 8 articles used synchronous remote SDM and 1 used asynchronous remote SDM. Themes related to interactional workability of both telemedicine technologies and SDM emerged, namely access to broadband, digital literacy, and satisfaction with the convenience of remote visits. CONCLUSIONS: Telemedicine technologies may foster virtual interactions that support remote SDM, which, in turn, may promote productive patient-clinician interactions and patient-centered care. PRACTICE IMPLICATIONS: Digitally-mediated consultations surged amidst the COVID-19 pandemic. The extent to which SDM frameworks developed for in-person use need any adaptation for remote SDM remains unclear. Investment in innovation, design, implementation, and effectiveness research to advance remote SDM are needed.
OBJECTIVES: To assess the extent to which shared decision making (SDM) can take place in telemedicine (remote SDM). METHODS: We searched Medline, Cochrane, and Scopus from 2010 until August 7th, 2020 for articles on remote SDM in the care of any patient using any technology. We also conducted a search for telemedicine articles citing key reports on SDM outcome measures. Two reviewers independently screened titles and abstracts, reviewed full text eligible studies, and synthesized their content using thematic analysis. RESULTS: Of the 12 eligible articles, most were European with patients with chronic disease or mental and behavioral health. 8 articles used synchronous remote SDM and 1 used asynchronous remote SDM. Themes related to interactional workability of both telemedicine technologies and SDM emerged, namely access to broadband, digital literacy, and satisfaction with the convenience of remote visits. CONCLUSIONS: Telemedicine technologies may foster virtual interactions that support remote SDM, which, in turn, may promote productive patient-clinician interactions and patient-centered care. PRACTICE IMPLICATIONS: Digitally-mediated consultations surged amidst the COVID-19 pandemic. The extent to which SDM frameworks developed for in-person use need any adaptation for remote SDM remains unclear. Investment in innovation, design, implementation, and effectiveness research to advance remote SDM are needed.
Authors: Marleen Kunneman; Megan E Branda; Jennifer L Ridgeway; Kristina Tiedje; Carl R May; Mark Linzer; Jonathan Inselman; Angela L H Buffington; Jordan Coffey; Deborah Boehm; James Deming; Sara Dick; Holly van Houten; Annie LeBlanc; Juliette Liesinger; Janet Lima; Joanne Nordeen; Laurie Pencille; Sara Poplau; Steven Reed; Anna Vannelli; Kathleen J Yost; Jeanette Y Ziegenfuss; Steven A Smith; Victor M Montori; Nilay D Shah Journal: Endocrine Date: 2021-09-09 Impact factor: 3.633
Authors: Roma Bhatia; Elizabeth Gilliam; Gianna Aliberti; Adlin Pinheiro; Maria Karamourtopoulos; Roger B Davis; Laura DesRochers; Mara A Schonberg Journal: J Am Geriatr Soc Date: 2022-09-28 Impact factor: 7.538