"It's good to know you're not a stranger every time": Communication about values between patients with multiple chronic conditions and healthcare providers

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

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

When patients' decisions about health care priorities conflict with those of their health care providers, patients' health outcomes suffer. Patients' values for health and well-being influence their healthcare priorities, but recent work suggests that the values discussed in clinical settings do not reflect the full breadth of patients' values. To address an evidence gap regarding how discussions about values occur in clinical settings, we conducted a field study with patients with multiple chronic conditions and their health care providers, including clinical observations, interviews, and home visits. We report on the extent to which certain categories of patients' values identified in prior research were discussed in clinic visits. We then discuss how patients and providers coordinated their perspectives to establish connections among patients' values and health concerns. These findings have implications for the design of systems to support patient-provider communication to incorporate patients' values and promote concordant priorities for health care.

Original languageEnglish (US)
Article number23
JournalProceedings of the ACM on Human-Computer Interaction
Volume1
Issue numberCSCW
DOIs
StatePublished - Nov 2017
Externally publishedYes

Keywords

  • Multiple chronic conditions
  • Patient-provider communication
  • Values

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Human-Computer Interaction
  • Computer Networks and Communications

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