Patient prioritization of comorbid chronic conditions in the Veteran population: Implications for patient-centered care
Objective: Patients with comorbid chronic conditions may prioritize some conditions over others; however, our understanding of factors influencing those prioritizations is limited. In this study, we sought to identify and elaborate a range of factors that influence how and why patients with comorbid...
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Online Access: | https://doi.org/10.1177/2050312116680945 |
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doaj-81387f0e2d59421e8f5a89a0371f0a352020-11-25T01:27:14ZengSAGE PublishingSAGE Open Medicine2050-31212016-11-01410.1177/205031211668094510.1177_2050312116680945Patient prioritization of comorbid chronic conditions in the Veteran population: Implications for patient-centered careLorilei M Richardson0Jennifer N Hill1Bridget M Smith2Erica Bauer3Frances M Weaver4Howard S Gordon5Kevin T Stroupe6Timothy P Hogan7Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Veterans Health Administration, Bedford, MA, USACenter of Innovation for Complex Chronic Health Care, Edward Hines Jr. VHA Hospital, Veterans Health Administration, Hines, IL, USADepartment of Pediatrics, Northwestern University, Evanston, IL, USACenter of Innovation for Complex Chronic Health Care, Edward Hines Jr. VHA Hospital, Veterans Health Administration, Hines, IL, USADepartment of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Chicago, IL, USADivision of Academic Internal Medicine, Department of Medicine, University of Illinois Chicago at College of Medicine, Chicago, IL, USADepartment of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Chicago, IL, USADivision of Health Informatics and Implementation Science, Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USAObjective: Patients with comorbid chronic conditions may prioritize some conditions over others; however, our understanding of factors influencing those prioritizations is limited. In this study, we sought to identify and elaborate a range of factors that influence how and why patients with comorbid chronic conditions prioritize their conditions. Methods: We conducted semi-structured, one-on-one interviews with 33 patients with comorbidities recruited from a single Veterans Health Administration Medical Center. Findings: The diverse factors influencing condition prioritization reflected three overarching themes: (1) the perceived role of a condition in the body, (2) self-management tasks, and (3) pain. In addition to these themes, participants described the rankings that they believed their healthcare providers would assign to their conditions as an influencing factor, although few reported having shared their priorities or explicitly talking with providers about the importance of their conditions. Conclusion: Studies that advance understanding of how and why patients prioritize their various conditions are essential to providing care that is patient-centered, reflecting what matters most to the individual while improving their health. This analysis informs guideline development efforts for the care of patients with comorbid chronic conditions as well as the creation of tools to promote patient–provider communication regarding the importance placed on different conditions.https://doi.org/10.1177/2050312116680945 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lorilei M Richardson Jennifer N Hill Bridget M Smith Erica Bauer Frances M Weaver Howard S Gordon Kevin T Stroupe Timothy P Hogan |
spellingShingle |
Lorilei M Richardson Jennifer N Hill Bridget M Smith Erica Bauer Frances M Weaver Howard S Gordon Kevin T Stroupe Timothy P Hogan Patient prioritization of comorbid chronic conditions in the Veteran population: Implications for patient-centered care SAGE Open Medicine |
author_facet |
Lorilei M Richardson Jennifer N Hill Bridget M Smith Erica Bauer Frances M Weaver Howard S Gordon Kevin T Stroupe Timothy P Hogan |
author_sort |
Lorilei M Richardson |
title |
Patient prioritization of comorbid chronic conditions in the Veteran population: Implications for patient-centered care |
title_short |
Patient prioritization of comorbid chronic conditions in the Veteran population: Implications for patient-centered care |
title_full |
Patient prioritization of comorbid chronic conditions in the Veteran population: Implications for patient-centered care |
title_fullStr |
Patient prioritization of comorbid chronic conditions in the Veteran population: Implications for patient-centered care |
title_full_unstemmed |
Patient prioritization of comorbid chronic conditions in the Veteran population: Implications for patient-centered care |
title_sort |
patient prioritization of comorbid chronic conditions in the veteran population: implications for patient-centered care |
publisher |
SAGE Publishing |
series |
SAGE Open Medicine |
issn |
2050-3121 |
publishDate |
2016-11-01 |
description |
Objective: Patients with comorbid chronic conditions may prioritize some conditions over others; however, our understanding of factors influencing those prioritizations is limited. In this study, we sought to identify and elaborate a range of factors that influence how and why patients with comorbid chronic conditions prioritize their conditions. Methods: We conducted semi-structured, one-on-one interviews with 33 patients with comorbidities recruited from a single Veterans Health Administration Medical Center. Findings: The diverse factors influencing condition prioritization reflected three overarching themes: (1) the perceived role of a condition in the body, (2) self-management tasks, and (3) pain. In addition to these themes, participants described the rankings that they believed their healthcare providers would assign to their conditions as an influencing factor, although few reported having shared their priorities or explicitly talking with providers about the importance of their conditions. Conclusion: Studies that advance understanding of how and why patients prioritize their various conditions are essential to providing care that is patient-centered, reflecting what matters most to the individual while improving their health. This analysis informs guideline development efforts for the care of patients with comorbid chronic conditions as well as the creation of tools to promote patient–provider communication regarding the importance placed on different conditions. |
url |
https://doi.org/10.1177/2050312116680945 |
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