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Patient perspectives on the need for implanted device information

Implications for a post‐procedural communication framework

Bibliographic Data

ID19508352
AuthorsNatalia Wilson (0000-0002-6531-7776, College of Health Solutions Arizona State University Phoenix AZ USA, corresponding author), Amanda J Reich (0000-0001-5922-4154, Center for Surgery and Public Health Brigham and Women's Hospital Boston MA USA), Jove Graham (0009-0007-3964-8874, Geisinger Danville PA USA), Deepak L Bhatt (0000-0002-1278-6245, Heart and Vascular Center Brigham and Women's Hospital Boston MA USA), Louis L Nguyen (Division of Vascular and Endovascular Surgery Brigham and Women's Hospital Boston MA USA), Joel S Weissman (0000-0002-4990-6263, Center for Surgery and Public Health Brigham and Women's Hospital Boston MA USA)
Year2021
Volume24
Issue4
Pages1391-1402
Publication date2021-08-01
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.13273
PMID33974346
OpenAlexW3162149168
LanguageEN
References cited33

BACKGROUND: 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. OBJECTIVE: To understand the patients' knowledge of identifying information for their implanted devices and perspectives on sharing their implanted device information. METHODS: 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. RESULTS: 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. DISCUSSION: 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. CONCLUSION: 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. PATIENT OR PUBLIC CONTRIBUTION: The research team included members who were also patients with implanted devices

Knowledge management · MEDLINE · Cardiac pacing and defibrillation studies · Computer Science · Electronic Health Records Systems · Patient-Provider Communication in Healthcare · Psychology

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