Title

Informed Decision Making in Lung Cancer Screening: Patient Views on Accomplishing Decision Counseling in a Primary Care Setting

Document Type

Presentation

Publication Date

6-24-2015

Comments

Advisor:

HB Fagan Department of Family and Community Medicine, Christiana Health Care System, Wilmington, DE

Abstract

Every year more people die of lung cancer than colon, breast, and prostate cancers combined. Most patients diagnosed with lung cancer already have advanced disease and the 5-year survival rate is only 16%. Recently recommendations have been made for screening. Screening is a key component of improving population health, and continued attention needs to be paid to raising awareness of screening to further reduce the risk. To elicit patient feedback on how to accomplish decision counseling for lung cancer screening in a primary care setting a mixed methods study design complete utilizing key informant interviews and a survey to collect demographic information. Key informant interviews were done over the phone in a semi-structured format. A majority of patients were not aware of the new screening guidelines or knew nothing about lung cancer screening. Even still most would consider screening. A majority would be willing to speak with someone other than their doctor but barriers included lack of trust, knowledge of patients’ medical history, and perceived lack of training of decision counselors. Patients would be interested in a process like decision counseling and are willing to have a longer appointment to accomplish it. The belief was that decision counseling would help them to make a better and more informed decision and patients believe that informed decision making is important. Also, patients believe that decision counseling is something that can be widespread to help make the decision to have lung cancer screening. Decision counseling for lung cancer screening is feasible in a primary care setting. Increased promotion of lung cancer screening guidelines is crucial in order to raise awareness of the availability of this preventive service. Addressing patients identified barriers and recommendations will be key to increase use of decision counseling services and therefore increase uptake of lung cancer screening.

Presentation: 25 minutes