scholarly journals Improving Patient Preference Elicitation by Applying Concepts From the Consumer Research Field: Narrative Literature Review

10.2196/13684 ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. e13684
Author(s):  
Niki Ver Donck ◽  
Geert Vander Stichele ◽  
Isabelle Huys
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Consumer Research ◽  
Patient Preference ◽  
Real Life ◽  
Preference Elicitation ◽  
Research Field ◽  
Narrative Literature ◽  
Narrative Literature Review ◽  
Life Decision

Background Although preference research finds its origins in consumer research, preference elicitation methods have increasingly attracted attention in different decision-making contexts in health care. Simulating real-life decision making is believed to be important during consumer preference elicitation. Objective The aims of this study were to compare the process of decision making between patients and consumers and to identify methods from the consumer research field that could be applied in patient preference elicitation. Methods A narrative literature review was performed to identify preference elicitation concepts from a consumer context that could offer improvements in health care. Results The process of decision making between patients and consumers was highly comparable. The following five concepts from the consumer research field that could effectively simulate a real-life decision-making process for applications in health care were identified: simulating alternatives, self-reflection, feedback-driven exploration, separated (adaptive) dual response, and arranging profiles in blocks. Conclusions Owing to similarities in the decision-making process, patients could be considered as a subgroup of consumers, suggesting that preference elicitation concepts from the consumer field may be relevant in health care. Five concepts that help to simulate real-life decision making have the potential to improve patient preference elicitation. However, the extent to which real decision-making contexts can be mimicked in health care remains unknown.

scholarly journals Improving Patient Preference Elicitation by Applying Concepts From the Consumer Research Field: Narrative Literature Review (Preprint)

2019 ◽  
Author(s):  
Niki Ver Donck ◽  
Geert Vander Stichele ◽  
Isabelle Huys
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Consumer Research ◽  
Patient Preference ◽  
Real Life ◽  
Preference Elicitation ◽  
Research Field ◽  
Narrative Literature ◽  
Narrative Literature Review ◽  
Life Decision

BACKGROUND Although preference research finds its origins in consumer research, preference elicitation methods have increasingly attracted attention in different decision-making contexts in health care. Simulating real-life decision making is believed to be important during consumer preference elicitation. OBJECTIVE The aims of this study were to compare the process of decision making between patients and consumers and to identify methods from the consumer research field that could be applied in patient preference elicitation. METHODS A narrative literature review was performed to identify preference elicitation concepts from a consumer context that could offer improvements in health care. RESULTS The process of decision making between patients and consumers was highly comparable. The following five concepts from the consumer research field that could effectively simulate a real-life decision-making process for applications in health care were identified: simulating alternatives, self-reflection, feedback-driven exploration, separated (adaptive) dual response, and arranging profiles in blocks. CONCLUSIONS Owing to similarities in the decision-making process, patients could be considered as a subgroup of consumers, suggesting that preference elicitation concepts from the consumer field may be relevant in health care. Five concepts that help to simulate real-life decision making have the potential to improve patient preference elicitation. However, the extent to which real decision-making contexts can be mimicked in health care remains unknown.

Decision-making styles in a real-life decision: Choosing a college major

2006 ◽  
Vol 41 (4) ◽  
pp. 629-639 ◽  
Author(s):  
Kathleen M. Galotti ◽  
Elizabeth Ciner ◽  
Hope E. Altenbaumer ◽  
Heather J. Geerts ◽  
Allison Rupp ◽  
...  
Keyword(s):  
Decision Making ◽  
College Major ◽  
Real Life ◽  
Decision Making Styles ◽  
Life Decision

Improving Health Care Provider Communication in End-of-Life Decision-Making

2017 ◽  
Vol 28 (2) ◽  
pp. 124-132 ◽  
Author(s):  
Tracey Wilson ◽  
Cathy Haut ◽  
Bimbola Akintade
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Critical Care ◽  
End Of Life ◽  
Health Care Providers ◽  
Care Providers ◽  
Improvement Project ◽  
Daunting Task ◽  
End Of Life Decision ◽  
Life Decision

Critical care providers are responsible for many aspects of patient care, primarily focusing on preserving life. However, nearly 40% of patients who are admitted to an adult critical care unit will not survive. Initiating a conversation about end-of-life decision-making is a daunting task. Often, health care providers are not trained, experienced, or comfortable facilitating these conversations. This article describes a quality improvement project that identified current views on end-of-life communication in the intensive care unit and potential barriers that obstruct open discussion, and offering strategies for improvement.

scholarly journals The Hard Limits of Decoding Mental States: The Decodability of fMRI

2020 ◽  
Author(s):  
R. Jabakhanji ◽  
A.D. Vigotsky ◽  
J. Bielefeld ◽  
L. Huang ◽  
M.N. Baliki ◽  
...  
Keyword(s):  
Decision Making ◽  
Brain Activity ◽  
Real Life ◽  
Discrimination Performance ◽  
Mental States ◽  
Compelling Evidence ◽  
Fine Grained ◽  
High Profile ◽  
Life Decision

SUMMARYHigh-profile studies claim to assess mental states across individuals using multi-voxel decoders of brain activity. The fixed, fine-grained, multi-voxel patterns in these “optimized” decoders are purportedly necessary for discriminating between, and accurately identifying, mental states. Here, we present compelling evidence that the efficacy of these decoders is overstated. Across a variety of tasks, decoder patterns were not necessary. Not only were “optimized decoders” spatially imprecise and 90% redundant, but they also performed similarly to simpler decoders, built from average brain activity. We distinguish decoder performance when used for discriminating between, in contrast to identifying, mental states, and show even when discrimination performance is strong, identification can be poor. Using similarity rules, we derived novel and intuitive discriminability metrics that capture 95% and 68% of discrimination performance within- and across-subjects, respectively. These findings demonstrate that current across-subject decoders remain inadequate for real-life decision making.

scholarly journals Criteria to Measure Social Media Value in Health Care Settings: Narrative Literature Review

10.2196/14684 ◽  
2019 ◽  
Vol 21 (12) ◽  
pp. e14684 ◽  
Author(s):  
Chukwuma Ukoha ◽  
Andrew Stranieri
Keyword(s):  
Health Care ◽  
Social Media ◽  
Relevant Literature ◽  
Business Information Systems ◽  
Health Care Settings ◽  
Starting Point ◽  
Narrative Literature ◽  
Narrative Literature Review ◽  
Use Of Social Media ◽  
The Moment

Background With the growing use of social media in health care settings, there is a need to measure outcomes resulting from its use to ensure continuous performance improvement. Despite the need for measurement, a unified approach for measuring the value of social media used in health care remains elusive. Objective This study aimed to elucidate how the value of social media in health care settings can be ascertained and to taxonomically identify steps and techniques in social media measurement from a review of relevant literature. Methods A total of 65 relevant articles drawn from 341 articles on the subject of measuring social media in health care settings were qualitatively analyzed and synthesized. The articles were selected from the literature from diverse disciplines including business, information systems, medical informatics, and medicine. Results The review of the literature showed different levels and focus of analysis when measuring the value of social media in health care settings. It equally showed that there are various metrics for measurement, levels of measurement, approaches to measurement, and scales of measurement. Each may be relevant, depending on the use case of social media in health care. Conclusions A comprehensive yardstick is required to simplify the measurement of outcomes resulting from the use of social media in health care. At the moment, there is neither a consensus on what indicators to measure nor on how to measure them. We hope that this review is used as a starting point to create a comprehensive measurement criterion for social media used in health care.

scholarly journals A framework for resolving disagreement during end of life care in the critical care unit

2010 ◽  
Vol 33 (4) ◽  
pp. 240 ◽  
Author(s):  
Karen Choong ◽  
Cynthia Cupido ◽  
Erin Nelson ◽  
Donald M Arnold ◽  
Karen Burns ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Critical Care ◽  
Conflict Resolution ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Care Providers ◽  
End Of Life Decision ◽  
Life Decision

Background: End-of-life decisions regarding the administration, withdrawal or withholding of life-sustaining therapy in the critical care setting can be challenging. Disagreements between health care providers and family members occur, especially when families believe strongly in preserving life, and physicians are resistant to providing medically “futile” care. Such disagreements can cause tension and moral distress among families and clinicians. Purpose: To outline the roles and responsibilities of physicians, substitute decision makers, and the judicial system when decisions must be made on behalf of incapable persons, and to provide a framework for conflict resolution during end-of-life decision-making for physicians practicing in Canada. Source: We used a case-based example to illustrate our objectives. We employed a comprehensive approach to understanding end-of-life decision making that included: 1) a search for relevant literature; 2) a review of provincial college policies; 3) a review of provincial legislation on consent; 4) a consultation with two bioethicists and 5) a consultation with two legal experts in health law. Principal Findings: In Canada, laws about substitute decision-making for health care are primarily provincial or territorial. Thus, laws and policies from professional regulatory bodies on end-of-life care vary across the country. We tabulated the provincial college policies on end-of-life care and the provincial legislation on consent and advance directives, and constructed a 10-step approach to conflict resolution. Conclusion: Knowledge of underlying ethical principles, understanding of professional duties, and adoption of a process for mediation and conflict resolution are essential to ensuring that physicians and institutions act responsibly in maintaining a patients’ best interests in the context of family-centred care.

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