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VHA Primary Care Analytics Team

Individualizing the System: Incorporating patient values into primary care for Veterans with multimorbidity (preliminary Career Development Award findings)


by Linnaea Schuttner, MD, MS
Seminar date: 10/16/2024

Description: This Cyberseminar presents the preliminary results of a VA Health Services Research Career Development Award (CDA) studying how patient values (what is meaningful in life and health) can be used in routine primary care delivery for Veterans with multimorbidity. The first part of the Cyberseminar reviews why patient values and patient-centered care delivery have a crucial role in multimorbidity primary care, individual and system-level approaches to incorporating what patients find meaningful into healthcare, and evidence gaps in what is known about how patient values in healthcare settings. In part two, the results of the first and second Aims of the CDA will be shared. Aim 1 discusses Veteran perspectives on appropriate contexts and circumstances to elicit health-related values (qualitative findings). Aim 2 covers the results from a novel participatory-decision making approach (multi-criteria decision analysis) to using values-aligned outcomes to prioritize between routine VA clinical reminders and preventative care screenings. Findings are discussed in relation to operational applications, implications for research methodology and new evidence, and clinical applications for care delivery. Intended Audience: Healthcare providers, researchers, leaders, and policy makers with interest in operational applications of patient-centered care delivery, methods of elicitation or values-aligned decision making, and patient-centered approaches to organizing primary care delivery.

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