Daniel Guinart, Andrea Fagiolini, Paolo Fusar-Poli, Giulia Maria Giordano, Stefan Leucht, Carmen Moreno, Christoph U Correll
On the Road to Individualizing Pharmacotherapy for Adolescents and Adults with Schizophrenia - Results from an Expert Consensus Following the Delphi Method
Neuropsychiatric disease and treatment
conventional medical education lacks lived experiences patients may authentically convey social determinants health sdoh resulting health disparities videos firstperson patient narratives may prove valuable education tool regard objective study investigate patient demographics satisfaction care patientphysician relationships influence obstetric patient interest willingness contribute sdoh video curriculum sharing lived experiences firstperson narratives study design included anonymous crosssectional survey optional semistructured telephone interview participants 18 years old livebirth delivery 8 weeks prior recruitment received care pregnancy los angeles general medical center lagmc variables surveyed included demographics satisfaction care aspects patientphysician relationship perceived utility personal interest contributing educational sdoh video bivariate analysis conducted compare participants characteristics responses interest contributing perceived helpfulness firstperson patient sdoh videos 7243 participants n 70 believed patients firstperson video sdoh would helpful preparing physicians provide competent medical care however 7143 responded interest sharing physicians experiences sdoh english preference us born factors significantly associated viewing firstperson sdoh video helpful p 0001 major themes telephone interviews reflected enthusiasm firstperson patient narratives perceived benefits using patient experiences educate physicians sdoh however participants cited barriers disclosing sdoh including brief strictly clinical interactions physicians lack continuity care fear judged physicians participants recognized utility addressing social needs medical education reported satisfaction obstetricians care factors uniformly translate willingness contribute firstperson patient narratives improve representation patients racial ethnic gender linguistic sexual minorities medical curricula research strategies needed overcome barriers discouraging patient disclosure social needs physicians