Creating conditions for patients' values to emerge in clinical conversations: Perspectives of health care team members

Andrew B.L. Berry, Catherine Lim, Andrea L. Hartzler, Tad Hirsch, Evette Ludman, Edward H. Wagner, James D. Ralston

Research output: Chapter in Book/Report/Conference proceedingConference contribution

12 Scopus citations

Abstract

Eliciting, understanding, and honoring patients' values-the things most important to them in daily life-is a cornerstone of patient-centered care. However, this rarely occurs explicitly as a routine part of clinical practice. This is particularly problematic for individuals with multiple chronic conditions (MCC) because they face difficult choices about how to balance competing demands for self-care in accordance with their values. In this study, we sought to inform the design of interventions to support conversations about patient values between patients with MCC and their health care providers. We conducted a field study that included observations of 21 clinic visits for patients who have MCC, and interviews with 16 care team members involved in those visits. This paper contributes a practice-based account of ways in which providers engage with patient values, and discusses how future work in interactive systems design might extend and enrich these engagements.

Original languageEnglish (US)
Title of host publicationDIS 2017 - Proceedings of the 2017 ACM Conference on Designing Interactive Systems
PublisherAssociation for Computing Machinery, Inc
Pages1165-1174
Number of pages10
ISBN (Electronic)9781450349222
DOIs
StatePublished - Jun 10 2017
Externally publishedYes
Event12th ACM Conference on Designing Interactive Systems, DIS 2017 - Edinburgh, United Kingdom
Duration: Jun 10 2017Jun 14 2017

Publication series

NameDIS 2017 - Proceedings of the 2017 ACM Conference on Designing Interactive Systems

Conference

Conference12th ACM Conference on Designing Interactive Systems, DIS 2017
Country/TerritoryUnited Kingdom
CityEdinburgh
Period6/10/176/14/17

Keywords

  • Multiple chronic conditions
  • Patient-provider communication
  • Values

ASJC Scopus subject areas

  • Software
  • Computer Graphics and Computer-Aided Design
  • Human-Computer Interaction

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