Shared Decision-Making and Digital Accessibility Of Patients Undergoing Breast Surgery
Association of Breast Surgery ePoster Library. St John E. 05/13/19; 257127; P083
Edward St John
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P083
Topic: Diagnosis/ Referral
Introduction: The Royal College of Surgeons and the Kings Fund guidelines emphasise the importance of shared decision-making (SDM) and informed consent (IC). SDM and IC are longitudinal and can be aided by procedure-specific information with time to consider options. Electronic solutions could aid this process, but concerns persist about the uptake of technology and access to the internet among our patients.Method:A prospective audit (approval number: SPS 009) was conducted over 4 months (December 2017 - March 2018) in a London teaching-hospital. Data was collected from 128 patients who underwent a breast surgical operation during these dates. Questions pertaining to evaluation of SDM and IC were collected including: “Were you given a patient information leaflet/decision aid?” The following data was also collected “I have access to a mobile device with internet” and “At home, I have access to (please tick all that apply): Email/Computer/Tablet/IPad/Internet/None of the above”. Results: 27% (n=35/128) were not given a patient information leaflet/decision aid.86% (n=108/126) had access to a mobile device with internet6% (n=8/128) did not have home access to any of: Computer/Tablet/Ipad/Internet/Email.5% (n=6/128) said they had no digital device or internet access. Conclusions:In this cohort, 95% of patients had access to a digital device either mobile or at home. For the large majority of patients, electronic solutions could be useful and accessible. However alternative options would need to exist to reach the few patients whom do not have digital access.
Topic: Diagnosis/ Referral
Introduction: The Royal College of Surgeons and the Kings Fund guidelines emphasise the importance of shared decision-making (SDM) and informed consent (IC). SDM and IC are longitudinal and can be aided by procedure-specific information with time to consider options. Electronic solutions could aid this process, but concerns persist about the uptake of technology and access to the internet among our patients.Method:A prospective audit (approval number: SPS 009) was conducted over 4 months (December 2017 - March 2018) in a London teaching-hospital. Data was collected from 128 patients who underwent a breast surgical operation during these dates. Questions pertaining to evaluation of SDM and IC were collected including: “Were you given a patient information leaflet/decision aid?” The following data was also collected “I have access to a mobile device with internet” and “At home, I have access to (please tick all that apply): Email/Computer/Tablet/IPad/Internet/None of the above”. Results: 27% (n=35/128) were not given a patient information leaflet/decision aid.86% (n=108/126) had access to a mobile device with internet6% (n=8/128) did not have home access to any of: Computer/Tablet/Ipad/Internet/Email.5% (n=6/128) said they had no digital device or internet access. Conclusions:In this cohort, 95% of patients had access to a digital device either mobile or at home. For the large majority of patients, electronic solutions could be useful and accessible. However alternative options would need to exist to reach the few patients whom do not have digital access.
P083
Topic: Diagnosis/ Referral
Introduction: The Royal College of Surgeons and the Kings Fund guidelines emphasise the importance of shared decision-making (SDM) and informed consent (IC). SDM and IC are longitudinal and can be aided by procedure-specific information with time to consider options. Electronic solutions could aid this process, but concerns persist about the uptake of technology and access to the internet among our patients.Method:A prospective audit (approval number: SPS 009) was conducted over 4 months (December 2017 - March 2018) in a London teaching-hospital. Data was collected from 128 patients who underwent a breast surgical operation during these dates. Questions pertaining to evaluation of SDM and IC were collected including: “Were you given a patient information leaflet/decision aid?” The following data was also collected “I have access to a mobile device with internet” and “At home, I have access to (please tick all that apply): Email/Computer/Tablet/IPad/Internet/None of the above”. Results: 27% (n=35/128) were not given a patient information leaflet/decision aid.86% (n=108/126) had access to a mobile device with internet6% (n=8/128) did not have home access to any of: Computer/Tablet/Ipad/Internet/Email.5% (n=6/128) said they had no digital device or internet access. Conclusions:In this cohort, 95% of patients had access to a digital device either mobile or at home. For the large majority of patients, electronic solutions could be useful and accessible. However alternative options would need to exist to reach the few patients whom do not have digital access.
Topic: Diagnosis/ Referral
Introduction: The Royal College of Surgeons and the Kings Fund guidelines emphasise the importance of shared decision-making (SDM) and informed consent (IC). SDM and IC are longitudinal and can be aided by procedure-specific information with time to consider options. Electronic solutions could aid this process, but concerns persist about the uptake of technology and access to the internet among our patients.Method:A prospective audit (approval number: SPS 009) was conducted over 4 months (December 2017 - March 2018) in a London teaching-hospital. Data was collected from 128 patients who underwent a breast surgical operation during these dates. Questions pertaining to evaluation of SDM and IC were collected including: “Were you given a patient information leaflet/decision aid?” The following data was also collected “I have access to a mobile device with internet” and “At home, I have access to (please tick all that apply): Email/Computer/Tablet/IPad/Internet/None of the above”. Results: 27% (n=35/128) were not given a patient information leaflet/decision aid.86% (n=108/126) had access to a mobile device with internet6% (n=8/128) did not have home access to any of: Computer/Tablet/Ipad/Internet/Email.5% (n=6/128) said they had no digital device or internet access. Conclusions:In this cohort, 95% of patients had access to a digital device either mobile or at home. For the large majority of patients, electronic solutions could be useful and accessible. However alternative options would need to exist to reach the few patients whom do not have digital access.
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