18– 23 CDS can include decision aids - patient-focused materials that research has shown can assist patients with making a decision regarding care that, while recommended, carries both risks and benefits that must be weighed for each individual. 17, 18ĬDS tools are programmed into electronic health records, prompting providers when patients are due and providing recommendations tailored to individual patients. 15, 16 Furthermore, innovative tools like algorithm-based clinical decision support (CDS) may improve the SDM process for patients and providers. 16, 17 Expending a little more time employing SDM during the decision-making process may improve quality of care.
13, 14 While providers may perceive the time required to review decision aids as a barrier to use, 15, 16 research has shown the increased time is marginal. 12 Research suggests that shared decision-making (SDM) between patients and providers assists patients with making a decision regarding cancer prevention and adhering to a cancer screening plan. 11 Others cite fear of diagnosis, wasted time and effort, false-positives, practical and financial barriers, and lack of understanding as reasons for avoiding screenings.
Some patients view cancer screenings as a moral obligation, a habit, or a tradition. 4– 10 However, for a number of reasons, patients may be unaware of or not follow recommendations. 2, 3 Recommendations exist for cancer prevention and screening based on a body of published efficacy research, including breast, colorectal, lung, and cervical and other human papillomavirus (HPV)-linked cancers. Cancer is the second most common cause of death in the United States 1 and one of the costliest diseases.
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