Eliciting Values of Patients with Multiple Chronic Conditions: Evaluation of a Patient-centered Framework.

Autor: Berry ABL; University of Washington, Seattle, WA, USA., Lim C; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA., Hartzler AL; University of Washington, Seattle, WA, USA.; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA., Hirsch T; University of Washington, Seattle, WA, USA., Ludman E; University of Washington, Seattle, WA, USA.; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA., Wagner EH; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA., Ralston JD; University of Washington, Seattle, WA, USA.; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Jazyk: angličtina
Zdroj: AMIA ... Annual Symposium proceedings. AMIA Symposium [AMIA Annu Symp Proc] 2018 Apr 16; Vol. 2017, pp. 430-439. Date of Electronic Publication: 2018 Apr 16 (Print Publication: 2017).
Abstrakt: Patients with multiple chronic conditions often face competing demands for care, and they often do not agree with physicians on priorities for care. Patients ' values shape their healthcare priorities, but existing methods for eliciting values do not necessarily meet patients ' care planning needs. We developed a patient-centered values framework based on a field study with patients and caregivers. In this paper we report on a survey to evaluate how the framework generalizes beyond field study participants, and how well the framework supports values elicitation. We found that respondents frame values in a way that is consistent with the framework, and that domains of the framework can be used to elicit a breadth of potential values individuals with MCC express. These findings demonstrate how a patient-centered perspective on values can expand on the domains considered in values clarification methods andfacilitate patient-provider communication in establishing shared care priorities.
Databáze: MEDLINE