Patient-initiated second opinions during acute hospital care

Second opinions are used in medicine in order to make better-informed decisions. Only a few studies have examined patient-initiated second opinions, and even fewer have examined it in the context of acute hospitalization. It is not clear whether patients and families are aware of this right and how...

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Autores principales:	Roni Gagin, Neta HaGani, Esti Zigelboim, Shiri Shinan-Altman
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2019
Materias:	patient-initiated second opinions shared decision making patient-centered care physician-patient relationship social work in healthcare health communication Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/30f4d228f449442a869e474ebf81dc6d
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spelling	oai:doaj.org-article:30f4d228f449442a869e474ebf81dc6d2021-11-15T04:28:53ZPatient-initiated second opinions during acute hospital care2372-0247https://doaj.org/article/30f4d228f449442a869e474ebf81dc6d2019-11-01T00:00:00Zhttps://pxjournal.org/journal/vol6/iss3/9https://doaj.org/toc/2372-0247Second opinions are used in medicine in order to make better-informed decisions. Only a few studies have examined patient-initiated second opinions, and even fewer have examined it in the context of acute hospitalization. It is not clear whether patients and families are aware of this right and how often they exercise it during acute hospitalization. The objective of this paper is to identify factors associated with the awareness and utilization of patient-initiated second opinions. A survey was conducted among 92 neurosurgical patients who completed a questionnaire that included information regarding: awareness of second opinion consultations, reasons for not seeking a second opinion, satisfaction from the second opinion and sharing the results of the second opinion with the first physician. Multivariate Logistic Regression analysis was performed to identify potential confounders associated with awareness and seeking a second opinion. Findings revealed that 79% percent of the participants were aware of their right to receive a second opinion; however, only 31% opted to receive a second opinion before/during the hospitalization. Fifty-eight percent received a second opinion related to previous medical conditions. Fifty-four percent did not inform the first physician about the results. The Logistic Regression showed that health insurance, education, religiosity and gender predicted awareness and utilization of second opinions. Current findings indicate that although patients are aware of their right to a second opinion and many have used it in the past, they rarely use it during acute hospitalization. Encouraging health professionals in hospitals to refer their patients to a second opinion as part of shared decision-making, may improve the liability and efficacy of patients' care. <strong>Experience Framework</strong> This article is associated with the Quality & Clinical Excellence lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Quality%20%26%20Clinical%20Excellence%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-QualityClinicalExcellence">Access other resources</a> related to this lens.</li> </ul>Roni GaginNeta HaGaniEsti ZigelboimShiri Shinan-AltmanThe Beryl Institutearticlepatient-initiated second opinionsshared decision makingpatient-centered carephysician-patient relationshipsocial work in healthcarehealth communicationMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient-initiated second opinions shared decision making patient-centered care physician-patient relationship social work in healthcare health communication Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient-initiated second opinions shared decision making patient-centered care physician-patient relationship social work in healthcare health communication Medicine (General) R5-920 Public aspects of medicine RA1-1270 Roni Gagin Neta HaGani Esti Zigelboim Shiri Shinan-Altman Patient-initiated second opinions during acute hospital care
description	Second opinions are used in medicine in order to make better-informed decisions. Only a few studies have examined patient-initiated second opinions, and even fewer have examined it in the context of acute hospitalization. It is not clear whether patients and families are aware of this right and how often they exercise it during acute hospitalization. The objective of this paper is to identify factors associated with the awareness and utilization of patient-initiated second opinions. A survey was conducted among 92 neurosurgical patients who completed a questionnaire that included information regarding: awareness of second opinion consultations, reasons for not seeking a second opinion, satisfaction from the second opinion and sharing the results of the second opinion with the first physician. Multivariate Logistic Regression analysis was performed to identify potential confounders associated with awareness and seeking a second opinion. Findings revealed that 79% percent of the participants were aware of their right to receive a second opinion; however, only 31% opted to receive a second opinion before/during the hospitalization. Fifty-eight percent received a second opinion related to previous medical conditions. Fifty-four percent did not inform the first physician about the results. The Logistic Regression showed that health insurance, education, religiosity and gender predicted awareness and utilization of second opinions. Current findings indicate that although patients are aware of their right to a second opinion and many have used it in the past, they rarely use it during acute hospitalization. Encouraging health professionals in hospitals to refer their patients to a second opinion as part of shared decision-making, may improve the liability and efficacy of patients' care. <strong>Experience Framework</strong> This article is associated with the Quality & Clinical Excellence lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Quality%20%26%20Clinical%20Excellence%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-QualityClinicalExcellence">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Roni Gagin Neta HaGani Esti Zigelboim Shiri Shinan-Altman
author_facet	Roni Gagin Neta HaGani Esti Zigelboim Shiri Shinan-Altman
author_sort	Roni Gagin
title	Patient-initiated second opinions during acute hospital care
title_short	Patient-initiated second opinions during acute hospital care
title_full	Patient-initiated second opinions during acute hospital care
title_fullStr	Patient-initiated second opinions during acute hospital care
title_full_unstemmed	Patient-initiated second opinions during acute hospital care
title_sort	patient-initiated second opinions during acute hospital care
publisher	The Beryl Institute
publishDate	2019
url	https://doaj.org/article/30f4d228f449442a869e474ebf81dc6d
work_keys_str_mv	AT ronigagin patientinitiatedsecondopinionsduringacutehospitalcare AT netahagani patientinitiatedsecondopinionsduringacutehospitalcare AT estizigelboim patientinitiatedsecondopinionsduringacutehospitalcare AT shirishinanaltman patientinitiatedsecondopinionsduringacutehospitalcare
_version_	1718428798221811712

Patient-initiated second opinions during acute hospital care

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