A scoping review of decision regret in non-communicable diseases: The emerging roles of patient-clinician communication, psychological aspects, and medical outcomes

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2024-10-18 DOI:10.1016/j.pec.2024.108478

Alice Silvia Brera , Cristina Arrigoni , Arianna Magon , Gianluca Conte , Silvia Belloni , Luigi Bonavina , Galyna Shabat , Marco Alfredo Arcidiacono , Małgorzata Pasek , Rosario Caruso

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Abstract

Objective

To map the existing literature on decision regret among patients with non-communicable diseases (NCDs) and develop an integrated framework to understand its impact on patient outcomes and healthcare processes.

Methods

A systematic search of PubMed, Embase, CINAHL, Cochrane Library, Google Scholar, and Scopus databases was conducted until January 2024 using the “Population, Concept, Context” framework. The review identified and analyzed 28 studies published between 2005 and 2023 in North America and Europe.

Results

Decision regret primarily arises from mismatches between expected and actual treatment outcomes and is strongly influenced by patient-clinician communication quality. The need for improved informed consent processes and enhanced communication strategies to mitigate regret emerged as prevalent themes. A hypothetical theoretical path was developed to define the relationship between patient expectations, medical outcomes, and emotional responses.

Conclusion

Enhanced communication and personalized treatment plans are crucial for addressing the multifaceted nature of regret in healthcare. Improved patient-clinician communication and informed consent processes can significantly reduce decision regret.

Practice Implications

Healthcare providers should focus on effective communication and education to personalize care strategies and align treatment decisions with patient expectations. This could ultimately reduce decision regret and improve patient outcomes.

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非传染性疾病决策遗憾的范围界定综述：患者与医生沟通、心理因素和医疗结果的新作用。

目的绘制有关非传染性疾病（NCD）患者决策后悔的现有文献，并制定一个综合框架，以了解其对患者预后和医疗流程的影响：方法：采用 "人群、概念、背景 "框架对 PubMed、Embase、CINAHL、Cochrane Library、Google Scholar 和 Scopus 数据库进行了系统检索，检索期至 2024 年 1 月。综述确定并分析了 2005 年至 2023 年期间在北美和欧洲发表的 28 项研究：决策后悔主要源于预期治疗结果与实际治疗结果之间的不匹配，并受到患者与医生沟通质量的强烈影响。需要改进知情同意程序和加强沟通策略，以减轻遗憾，这是普遍存在的主题。我们提出了一个假设的理论路径，以确定患者期望、医疗结果和情绪反应之间的关系：结论：加强沟通和个性化治疗方案对于解决医疗保健中遗憾的多面性至关重要。改善患者与医生的沟通和知情同意程序可以大大减少决策后悔：实践意义：医疗服务提供者应注重有效的沟通和教育，以制定个性化的治疗策略，并使治疗决定与患者的期望相一致。实践意义：医疗服务提供者应注重有效的沟通和教育，制定个性化的护理策略，使治疗决策与患者期望相一致，从而最终减少决策遗憾，改善患者预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.