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Bias in team decision-making for advanced heart failure therapies: model application

Bias in advanced heart failure therapy allocation results in inequitable outcomes for minoritized populations. The purpose of this study was to examine how bias is introduced during group decision-making with an interprofessional team using Breathett's Model of Heart Failure Decision-Making. Th...

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Bibliographic Details
Published in:Journal of interprofessional care 2024-07, Vol.38 (4), p.1-704
Main Authors: Hebdon, Megan, Pool, Natalie, Yee, Ryan, Herrera-Theut, Kathryn, Yee, Erika, Allen, Larry A, Hasan, Ayesha, Lindenfeld, JoAnn, Calhoun, Elizabeth, Sweitzer, Nancy K, Welling, Anna, Breathett, Khadijah
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Language:English
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Summary:Bias in advanced heart failure therapy allocation results in inequitable outcomes for minoritized populations. The purpose of this study was to examine how bias is introduced during group decision-making with an interprofessional team using Breathett's Model of Heart Failure Decision-Making. This was a secondary qualitative descriptive analysis from a study focused on bias in advanced heart failure therapy allocation. Team meetings were recorded and transcribed from four heart failure centers. Breathett's Model was applied both deductively and inductively to transcripts (  = 12). Bias was identified during discussions about patient characteristics, clinical fragility, and prior clinical decision-making. Some patients were labeled as "good citizens" or as adherent/non-adherent while others benefited from strong advocacy from interprofessional team members. Social determinants of health also impacted therapy allocation. Interprofessional collaboration with advanced heart failure therapy allocation may be enhanced with the inclusion of patient advocates and limit of clinical decision-making using subjective data.
ISSN:1356-1820
1469-9567
1469-9567
DOI:10.1080/13561820.2024.2346934