RT Journal Article SR Electronic T1 Primary Care Physician Involvement in Shared Decision Making for Critically Ill Patients and Family Satisfaction with Care JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 64 OP 72 DO 10.3122/jabfm.2018.01.170211 VO 31 IS 1 A1 Kevin B. Huang A1 Urs Weber A1 Jennifer Johnson A1 Nathanial Anderson A1 Andrea K. Knies A1 Belinda Nhundu A1 Cynthia Bautista A1 Kelly Poskus A1 Kevin N. Sheth A1 David Y. Hwang YR 2018 UL http://www.jabfm.org/content/31/1/64.abstract AB Purpose: An intensive care unit (ICU) patient's primary care physician (PCP) may be able to assist family with certain ICU shared medical decisions. We explored whether families of patients in nonopen ICUs who nevertheless report involvement of a patient's PCP in medical decision making are more satisfied with ICU shared decision making than families who do not.Methods: Between March 2013 and December 2015, we administered the Family Satisfaction in the ICU 24 survey to family members of adult neuroscience ICU patients. We compared the mean score for the survey subsection regarding shared decision making (graded on a 100-point scale), as well as individual survey items, between those who reported the patient's PCP involvement in any medical decision making versus those who did not.Results: Among 263 respondents, there was no difference in mean overall decision-making satisfaction scores for those who reported involvement (81.1; SD = 15.2) versus those who did not (80.1; SD = 12.8; P = .16). However, a higher proportion reporting involvement felt completely satisfied with their 1) inclusion in the ICU decision making process (75.9% vs 61.4%; P = .055), and 2) control over the care of the patient (73.6% vs 55.6%; P = .02), with no difference regarding consistency of clinical information provided by the medical team (64.8% vs 63.5%; P = 1.00).Conclusions: Families who report involvement of a patient's PCP in medical decision making for critically ill patients may be more satisfied than those who do not with regard to specific aspects of ICU decision making. Further research would help understand how best to engage PCPs in shared decisions.