Eliciting stakeholder preferences for patient-centered research
Authors Mostofsky E, Dunn JA, Hernández-Díaz S, Johansson AC, Mittleman MA
Received 30 June 2018
Accepted for publication 3 January 2019
Published 21 February 2019 Volume 2019:13 Pages 339—349
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Professor Qizhi (Cathy) Yao
Elizabeth Mostofsky,1–3 Jillian A Dunn,3 Sonia Hernández-Díaz,3 Anna C Johansson,2,4 Murray A Mittleman1–4
1Cardiovascular Epidemiology Research Unit, Beth Israel Deaconess Medical Center, Boston, MA, USA; 2Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA; 3Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA; 4Department of Medicine, Harvard Medical School, Boston, MA, USA
Background: Rather than identifying exposures and outcomes for research solely based on interests of medical professionals, there is a need for research that answers questions that are important to patients, so that they may make treatment decisions based on evidence that reflect their individual preferences.
Objective: To identify exposures and outcomes of interest that could be studied with electronic health record data from inpatient care.
Design, setting, participants: Mixed-methods analysis of semi-structured interviews administered in 2017 to 76 patients and 26 physicians who receive or provide care at Beth Israel Deaconess Medical Center in Boston, MA.
Measurements: After conducting detailed semi-structured interviews about topics of interest that can be studied using electronic health records of inpatient care, we used an inductive approach to identify themes about the health care experience.
Results: Participants reported concerns about adverse effects of medication changes, drug interactions, and surgery and other invasive procedures. The outcomes of greatest concern to them were in-hospital deaths and hospital-acquired infections. Participants commented on the importance of clear communication and information transfers, the hospital environment, accurate skills and knowledge, and upholding patient dignity and respect.
Conclusion: Engaging patients and physicians in the research development process provided insight to the exposures and outcomes they consider important. Our questions about exposures and outcomes of interest were restricted to topics that could be studied with electronic health record data from inpatient care, but using a similar approach to elicit feedback about the health care experience could be used to glean insight for other areas of future research.
Keywords: patient-oriented methods, clinical, health communication
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