Trainee at Yale School of Public Health (datesfrom-touse month, day, year like this: January 1, 2016 – June 30, 2016)
Nov 21, 2014 to Dec 19, 2014
Member of an IRB?Which one, what is your title?
Member of the Organ Transplantation IRB of Third Xiangya Hospital of CSU
work email: email@example.com
work phone number: 86-731-88618667
Dr. Xinchun Liu is trained as a researcher and hospital administrator, her primary research interests are doctor-patient communication. Dr. Xinchun Liu's other interests are clinician-patient (patient’s family) relationship, medical ethics and clinic psychology. Recently, she has been doing the research on clinician-family shared decision making among ICU critical ill. She conducts research in China, teaches courses and held workshops on doctor-patient communication, ethics and clinic psychology.
Mentored Trainee Research Project (if any):Include title and short summary.If project is complete, include results
CMB 14-200: The Effects of Family-Clinician Shared Decision-Making Model on Patient-Centered Care in Advanced Critical Illness: A Multicenter Randomized Control Trial
Serious deficiencies in end-of-life care in intensive care units (ICUs) lead to patterns of care that do not meet patients’ preferences, overuse of expensive treatments, and unmet family communication needs. These deficiencies jeopardize patient-centered care and cause a huge waste of the limited health care resources in
. Evidence shows that patient and family’s participation in shared decision-making obtained better health outcomes, higher satisfaction and lower medical costs. However, no study has been conducted to evaluate the effects of Family-Clinician Shared Decision Making (FCSDM) on patient-centeredness in ICU terminally ill patients in
This multi-center randomized controlled trial will evaluate the feasibility and efficacy of FCSDM in 6 Chinese tertiary level ICUs (intervention=3, control=3). Study steps are: (1) Planning and FCSDM protocol development; (2) Pilot study in 2 centers; (3) Pilot data analysis and protocol modification; (4) Implementation of main study; (5) Data analysis and study report preparation.
Primary outcome: Satisfaction for shared decision-making; Medical costs.
Secondary outcomes: Patient’s quality of life; Quality of communication; ICU length of stay; Choices for hospice or comfort care; Readmission to long-term acute care hospital; Family’s distress; Clinician’s collaboration.
If the program is effective, it will have significant impacts on patient-centered care for terminally ill patients, medical costs, and health care policy in
Other research projects you may be working on: (include the title, your role on the project and a short summary)
Areas of Expertise:
Doctor-patient communication, medical ethics and clinic psychology.