Time of Clinic Appointment and Serious Illness Communication in Oncology
Introduction Serious illness communication in oncology increases goal concordant care. Factors associated with the frequency of serious illness conversations are not well understood. Given prior evidence of the association between suboptimal decision-making and clinic time, we aimed to investigate t...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-04-01
|
| Series: | Cancer Control |
| Online Access: | https://doi.org/10.1177/10732748231170488 |
| _version_ | 1797688158090952704 |
|---|---|
| author | Likhitha Kolla BS Jinbo Chen PhD Ravi B. Parikh MD, MPP |
| author_facet | Likhitha Kolla BS Jinbo Chen PhD Ravi B. Parikh MD, MPP |
| author_sort | Likhitha Kolla BS |
| collection | DOAJ |
| description | Introduction Serious illness communication in oncology increases goal concordant care. Factors associated with the frequency of serious illness conversations are not well understood. Given prior evidence of the association between suboptimal decision-making and clinic time, we aimed to investigate the relationship between appointment time and the likelihood of serious illness conversations in oncology. Methods We conducted a retrospective study of electronic health record data from 55 367 patient encounters between June 2019 to April 2020, using generalized estimating equations to model the likelihood of a serious illness conversation across clinic time. Results Documentation rate decreased from 2.1 to 1.5% in the morning clinic session (8am-12pm) and from 1.2% to .9% in the afternoon clinic session (1pm-4pm). Adjusted odds ratios for Serious illness conversations documentation rates were significantly lower for all hours of each session after the earliest hour (adjusted odds ratios .91 [95% CI, .84-.97], P = .006 for overall linear trend). Conclusions Serious illness conversations between oncologists and patients decrease considerably through the clinic day, and proactive strategies to avoid missed conversations should be investigated. |
| first_indexed | 2024-03-12T01:27:13Z |
| format | Article |
| id | doaj.art-649e7e65058340d683157a21d04010ad |
| institution | Directory Open Access Journal |
| issn | 1526-2359 |
| language | English |
| last_indexed | 2024-03-12T01:27:13Z |
| publishDate | 2023-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Cancer Control |
| spelling | doaj.art-649e7e65058340d683157a21d04010ad2023-09-12T13:33:35ZengSAGE PublishingCancer Control1526-23592023-04-013010.1177/10732748231170488Time of Clinic Appointment and Serious Illness Communication in OncologyLikhitha Kolla BSJinbo Chen PhDRavi B. Parikh MD, MPPIntroduction Serious illness communication in oncology increases goal concordant care. Factors associated with the frequency of serious illness conversations are not well understood. Given prior evidence of the association between suboptimal decision-making and clinic time, we aimed to investigate the relationship between appointment time and the likelihood of serious illness conversations in oncology. Methods We conducted a retrospective study of electronic health record data from 55 367 patient encounters between June 2019 to April 2020, using generalized estimating equations to model the likelihood of a serious illness conversation across clinic time. Results Documentation rate decreased from 2.1 to 1.5% in the morning clinic session (8am-12pm) and from 1.2% to .9% in the afternoon clinic session (1pm-4pm). Adjusted odds ratios for Serious illness conversations documentation rates were significantly lower for all hours of each session after the earliest hour (adjusted odds ratios .91 [95% CI, .84-.97], P = .006 for overall linear trend). Conclusions Serious illness conversations between oncologists and patients decrease considerably through the clinic day, and proactive strategies to avoid missed conversations should be investigated.https://doi.org/10.1177/10732748231170488 |
| spellingShingle | Likhitha Kolla BS Jinbo Chen PhD Ravi B. Parikh MD, MPP Time of Clinic Appointment and Serious Illness Communication in Oncology Cancer Control |
| title | Time of Clinic Appointment and Serious Illness Communication in Oncology |
| title_full | Time of Clinic Appointment and Serious Illness Communication in Oncology |
| title_fullStr | Time of Clinic Appointment and Serious Illness Communication in Oncology |
| title_full_unstemmed | Time of Clinic Appointment and Serious Illness Communication in Oncology |
| title_short | Time of Clinic Appointment and Serious Illness Communication in Oncology |
| title_sort | time of clinic appointment and serious illness communication in oncology |
| url | https://doi.org/10.1177/10732748231170488 |
| work_keys_str_mv | AT likhithakollabs timeofclinicappointmentandseriousillnesscommunicationinoncology AT jinbochenphd timeofclinicappointmentandseriousillnesscommunicationinoncology AT ravibparikhmdmpp timeofclinicappointmentandseriousillnesscommunicationinoncology |