Patient Perceptions of Quality of Shared Decision-Making for Lung Cancer Screening in Telehealth vs In-Person Discussions: A Synthesis of Evidence and Clinical Insights

Highlights

• Studies show comparable patient-perceived quality of SDM for lung cancer screening whether conducted via telehealth or in-person visits.
• Provision of educational materials occurs more frequently in in-person encounters, though this does not significantly affect overall decision satisfaction or outcomes.
• Telehealth-based SDM may improve access and equity in lung cancer screening without compromising decision quality, important for vulnerable populations.
• Consistent secondary outcomes such as provider empathy, adherence to imaging follow-up, and smoking cessation counseling are maintained regardless of SDM delivery method.