TY - GEN
T1 - Creating conditions for patients' values to emerge in clinical conversations
T2 - 12th ACM Conference on Designing Interactive Systems, DIS 2017
AU - Berry, Andrew B.L.
AU - Lim, Catherine
AU - Hartzler, Andrea L.
AU - Hirsch, Tad
AU - Ludman, Evette
AU - Wagner, Edward H.
AU - Ralston, James D.
N1 - Publisher Copyright:
© 2017 ACM.
PY - 2017/6/10
Y1 - 2017/6/10
N2 - 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.
AB - 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.
KW - Multiple chronic conditions
KW - Patient-provider communication
KW - Values
UR - http://www.scopus.com/inward/record.url?scp=85023195428&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85023195428&partnerID=8YFLogxK
U2 - 10.1145/3064663.3064669
DO - 10.1145/3064663.3064669
M3 - Conference contribution
C2 - 28890950
AN - SCOPUS:85023195428
T3 - DIS 2017 - Proceedings of the 2017 ACM Conference on Designing Interactive Systems
SP - 1165
EP - 1174
BT - DIS 2017 - Proceedings of the 2017 ACM Conference on Designing Interactive Systems
PB - Association for Computing Machinery, Inc
Y2 - 10 June 2017 through 14 June 2017
ER -