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Comment & Response
September 2015

Working to Shift Clinician Perceptions—Reply

Author Affiliations
  • 1Department of Medicine, McMaster University, Hamilton, Ontario, Canada
  • 2Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ontario, Canada
  • 3Kingston General Hospital, Clinical Evaluation Research Unit, Kingston, Ontario, Canada
JAMA Intern Med. 2015;175(9):1578. doi:10.1001/jamainternmed.2015.3135

In Reply We thank Back for his thoughtful letter. We agree that our findings are a reflection of clinicians’ perceptions about barriers to goals of care discussions. While clinicians’ beliefs may not always reflect patient realities, we believe that insight into the “headspace” of clinicians provides powerful knowledge to drive future change. The survey findings reported in our article were from a larger mixed methods study. We have recently completed a qualitative analysis of interviews with hospital-based clinicians that will provide further insights into clinicians’ perspectives about goals-of-care discussions.