Clinical decision-making of cardiologists regarding admission and treatment of patients with suspected unstable angina or non-ST-elevation myocardial infarction: protocol of a clinical vignette study.
Bottom Line: The results of the study will provide insight into the relative importance of cardiac risk scores and other clinical information in cardiac decision-making.Further, the results indicate cardiologists' adherence to the European Society of Cardiology guideline recommendations.In addition, the detailed description of the method of vignette development applied in this study could assist other researchers or clinicians in creating future choice experiments.
Affiliation: Department of Public and Occupational Health, VU University Medical Center, EMGO Institute for Health and Care Research, Amsterdam, The Netherlands.Show MeSH
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Mentions: Two members of the research team drafted the initial clinical case descriptions of the vignettes: one representing decision moment A and one representing decision moment B. Next, the clinical case descriptions were discussed and reviewed in a second consensus meeting (26 February 2014), comprising four cardiologists and the research team. This review process was undertaken to ensure accuracy, plausibility and clarity of the clinical event presentation in all of the vignettes. The vignettes were revised until the research team and the panel of cardiologists agreed that the case descriptions represented clinical practice as closely as possible. An example of a vignette is presented in figure 1.
Affiliation: Department of Public and Occupational Health, VU University Medical Center, EMGO Institute for Health and Care Research, Amsterdam, The Netherlands.