Paper Info
Title
"It's good to know you're not a stranger every time": Communication about Values Between Patients with Multiple Chronic Conditions and Healthcare Providers
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.
Year
DOI
Venue
2017
10.1145/3134658
Proceedings of the ACM on Human-Computer Interaction
Keywords
DocType
Volume
multiple chronic conditions,patient-provider communication,values
Journal
1
Issue
ISSN
Citations 
CSCW
2573-0142
0
PageRank 
References 
Authors
0.34
0
7
Name
Order
Citations
PageRank
Andrew B. L. Berry193.61
Catherine Lim212.78
Andrea Hartzler316425.55
Tad Hirsch423.09
Evette Ludman501.69
Edward H. Wagner632.10
James D. Ralston75013.39