Value Assessment at the Point of Care: Incorporating Patient Values throughout Care Delivery and a Draft Taxonomy of Patient Values
Name:
Publisher version
View Source
Access full-text PDFOpen Access
View Source
Check access options
Check access options
Date
2017Journal
Value in HealthPublisher
Elsevier LtdType
Article
Metadata
Show full item recordAbstract
Incorporation of patient values is a key element of patient-centered care, but consistent incorporation of patient values at the point of care is lacking. Shared decision making encourages incorporation of patient values in decision making, but associated tools often lack guidance on value assessment. In addition, focusing on patient values relating only to specific decisions misses an opportunity for a more holistic approach to value assessment that could impact other aspects of clinical encounters, including health care planning, communication, and stakeholder involvement. In this commentary, we propose a taxonomy of values underlying patient decision making and provide examples of how these impact provision of health care. The taxonomy describes four categories of patient values: global, decisional, situational, and external. Global values are personal values impacting decision making at a universal level and can include value traits and life priorities. Decisional values are the values traditionally conceptualized in decision making, including considerations such as efficacy, toxicity, quality of life, convenience, and cost. Situational values are values tied to a specific moment in time that modify patients' existing global and decisional values. Finally, discussion of external values acknowledges that many patients consider values other than their own when making decisions. Recognizing the breadth of values impacting patient decision making has implications for both overall health care delivery and shared decision making because value assessments focusing only on decisional values may miss important patient considerations. This draft taxonomy highlights different values impacting decision making and facilitates a more complete value assessment at the point of care.Identifier to cite or link to this item
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013658766&doi=10.1016%2fj.jval.2016.11.008&partnerID=40&md5=23fbac56d0960ede1d140c00be1076d7; http://hdl.handle.net/10713/10934ae974a485f413a2113503eed53cd6c53
10.1016/j.jval.2016.11.008
Scopus Count
Collections
Related articles
- Integrating Patient Preference into Treatment Decisions for Men with Prostate Cancer at the Point of Care.
- Authors: Johnson DC, Mueller DE, Deal AM, Dunn MW, Smith AB, Woods ME, Wallen EM, Pruthi RS, Nielsen ME
- Issue date: 2016 Dec
- The patient experience of patient-centered communication with nurses in the hospital setting: a qualitative systematic review protocol.
- Authors: Newell S, Jordan Z
- Issue date: 2015 Jan
- Why do some patients prefer to leave decisions up to the doctor: lack of self-efficacy or a matter of trust?
- Authors: Chawla N, Arora NK
- Issue date: 2013 Dec
- Patient preference for involvement, experienced involvement, decisional conflict, and satisfaction with physician: a structural equation model test.
- Authors: Hölzel LP, Kriston L, Härter M
- Issue date: 2013 Jun 25
- Adolescents' preferences for treatment decisional involvement during their cancer.
- Authors: Weaver MS, Baker JN, Gattuso JS, Gibson DV, Sykes AD, Hinds PS
- Issue date: 2015 Dec 15