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J Health Commun ; 25(9): 681-691, 2020 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-33111640

RESUMO

The study examines whether physicians' framing of clinical interactions is related to patient shared decision-making (SDM) satisfaction when using a clinical decision support tool (CDST) concerning mammographic screening. To answer this question, we combined (a) system log data from a CDST, (b) content coding of the physicians' message framing while using the CDST, and (c) a post-visit patient survey to assess SDM satisfaction concerning screening mammography. Results suggest that two types of message frames - consequence frames and numerical frames - moderated the relationship of the CDST on SDM satisfaction. When the CDST displayed low risk of breast cancer for a patient, physicians were able to improve the cognitive aspects of SDM satisfaction by framing the consequences of mammography screening in positive terms. However, when the physician delivered the numerical information in relative, rather than absolute terms, the patient's SDM satisfaction was reduced. Our study advances previous message framing effect research in health communication from experimental settings to clinical encounters. It also discusses the importance of delivering risk-congruent frames in clinical settings.


Assuntos
Tomada de Decisão Compartilhada , Detecção Precoce de Câncer , Comunicação em Saúde/métodos , Mamografia , Satisfação do Paciente/estatística & dados numéricos , Relações Médico-Paciente , Adulto , Neoplasias da Mama/diagnóstico , Sistemas de Apoio a Decisões Clínicas , Feminino , Humanos , Pessoa de Meia-Idade , Inquéritos e Questionários
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