Title
Creating Conditions for Patients' Values to Emerge in Clinical Conversations: Perspectives of Health Care Team Members.
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.
Year
DOI
Venue
2017
10.1145/3064663.3064669
Conference on Designing Interactive Systems
Keywords
Field
DocType
H.5.m. Information interfaces and presentation (e.g.,HCI): Miscellaneous,J.3 Life and Medical Sciences: Health,Values,multiple chronic conditions,patient-provider communication
Medical education,Health care,Psychological intervention,Multiple Chronic Conditions,Clinical Practice,Engineering,Multimedia,Cornerstone
Conference
Volume
Citations 
PageRank 
2017
0
0.34
References 
Authors
7
7
Name
Order
Citations
PageRank
Andrew B. L. Berry193.61
Catherine Lim212.78
Andrea Hartzler316425.55
Tad Hirsch427436.25
Evette Ludman501.69
Edward H. Wagner632.10
James D. Ralston75013.39