Understanding What Is Most Important to Individuals with Multiple Chronic Conditions: A Qualitative Study of Patients' Perspectives.
J Gen Intern Med
; 32(12): 1278-1284, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-28849368
ABSTRACT
BACKGROUND:
To improve care for individuals living with multiple chronic conditions, patients and providers must align care planning with what is most important to patients in their daily lives. We have a limited understanding of how to effectively encourage communication about patients' personal values during clinical care.OBJECTIVE:
To identify what patients with multiple chronic conditions describe as most important to their well-being and health.DESIGN:
We interviewed individuals with multiple chronic conditions in their homes and analyzed results qualitatively, guided by grounded theory.PARTICIPANTS:
A total of 31 patients (mean age 68.7 years) participated in the study, 19 of which included the participation of family members. Participants were from Kaiser Permanente Washington, an integrated health care system in Washington state.APPROACH:
Qualitative analysis of home visits, which consisted of semi-structured interviews aided by photo elicitation. KEYRESULTS:
Analysis revealed six domains of what patients described as most important for their well-being and health principles, relationships, emotions, activities, abilities, and possessions. Personal values were interrelated and rarely expressed as individual values in isolation.CONCLUSIONS:
The domains describe the range and types of personal values multimorbid older adults deem important to well-being and health. Understanding patients' personal values across these domains may be useful for providers when developing, sharing, and following up on care plans.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Valores Sociais
/
Atitude Frente a Saúde
/
Múltiplas Afecções Crônicas
Tipo de estudo:
Qualitative_research
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Gen Intern Med
Assunto da revista:
MEDICINA INTERNA
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos