College of Health Solutions, Arizona State University, Phoenix, AZ, USA.
Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA.
Health Expect. 2021 Aug;24(4):1391-1402. doi: 10.1111/hex.13273. Epub 2021 May 11.
Shared decision making and patient-centred communication have become part of pre-procedural decisions and perioperative care across medical specialties. However, gaps exist in patient communication about the implanted device received and the benefits in sharing information about their procedure and device.
To understand the patients' knowledge of identifying information for their implanted devices and perspectives on sharing their implanted device information.
Four focus groups were conducted with patients who had received a cardiac or vascular implanted device from one of the study sites within the previous 6 months. Data were transcribed and thematically analysed.
Five themes emerged: lack of awareness of identifying information on implanted devices; value of information on implanted devices; varying trust with sharing device information; perceived risk with sharing device information; and lack of consensus on a systematic process for tracking implanted devices.
Patients desire post-procedural information on their implanted device and a designated plan for longitudinal follow-up, but lack trust and perceive risk with broadly sharing their implanted device information.
After receiving an implanted device, post-procedural patient communication needs to be expanded to include identifying information on the device including the unique device identifier, how long-term tracking will be supported and the process for notification in case of a problem with the device. This communication should also include education on how sharing device information supports patients' long-term health care, post-market safety surveillance and research.
The research team included members who were also patients with implanted devices.
在医学各专业领域，共享决策和以患者为中心的沟通已经成为术前决策和围手术期护理的一部分。然而，在患者对植入设备的相关信息以及分享手术和设备信息的益处的沟通方面仍然存在差距。
了解患者对植入设备识别信息的了解程度以及分享其植入设备信息的观点。
在植入了心脏或血管植入设备后的 6 个月内，在研究场所之一接受治疗的患者中进行了 4 个焦点小组。对数据进行了转录和主题分析。
出现了 5 个主题：对植入设备识别信息缺乏认识；对植入设备信息的重视；分享设备信息的信任程度不同；分享设备信息的感知风险；以及缺乏跟踪植入设备的系统流程的共识。
患者希望在植入设备后获得关于设备的信息，并制定长期随访的计划，但他们对广泛分享设备信息缺乏信任并认为存在风险。
在植入设备后，术后患者的沟通需要扩展到包括设备的识别信息，例如独特的设备标识符、长期跟踪将如何得到支持以及在设备出现问题时的通知流程。这种沟通还应包括关于分享设备信息如何支持患者的长期医疗保健、上市后安全性监测和研究的教育。
研究团队包括了也有植入设备的患者成员。
