Clinician views on patient priorities care
OA Version
Citation
Abstract
OBJECTIVE: To understand the current use, views, and suggestions for implementing a patient-centered conversation tool, Patient Priorities Care (PPC), by interviewing clinicians at a VA medical center from multiple clinical settings.
METHODS: Physicians and advance practice clinicians working at the VA Boston Healthcare System (VABHS) were interviewed using a semi-structured approach between December and February 2023. The interview consisted of ten guided questions to gain the perspective of participating clinicians on current practices and views on implementing the tool into their practice at the VA. The qualitative data was collected, transcribed, and coded into themes based on a generated codebook using the software NVivo.
RESULTS: Nine clinicians from VABHS were interviewed. The results indicated that the Patient Priorities Care tool is a beneficial tool with many advantages but will face challenges in implementation. Furthermore, the study set up as a video conference could have been more successful as only nine clinicians agreed to participate after numerous recruitment attempts.
CONCLUSION: Our study highlights clinicians’ perspectives on Patient Priorities Care in piloting at the VABHS. Based on the qualitative data obtained, recommendations provided by clinicians identified Patient Priorities Care as a valuable tool for practicing goal-concordant care. Future studies should investigate the quantitative metrics of the amount of time It takes to conduct the conversation and its effects on improving the quality of care. Another study that could be of interest is obtaining patients’ perspectives on the flow and implementation of the tool.