People living with multiple long-term conditions: Meeting the challenges of personalized decision making

Vije Kumar Rajput*, Jack Dowie, Mette Kjer Kaltoft

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

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Abstract

As with any diagnosis, the underlying purpose of a multimorbidity' one is to identify and establish the impact of a person's health conditions on their lives and to facilitate personalized decisions regarding proposed interventions. Clinicians routinely make decisions about the use of interventions for people with multiple long-term conditions. This is challenging because evidence to support this process currently relies on guidance on single health conditions for people without multimorbidity, typically taking fewer medications. Establishing the person's preferences over relevant criteria is central to a person-centered decision-making process, and it is particularly challenging, given the complexities of the person's multiple conditions. The final challenge is in combining the clinician's best estimates of the benefits and harms of possible interventions with the person's preferences. A review of these challenges, drawing on the NICE guidelines, leads to a proposal for using a Multi-Criteria Decision Analysis-based support tool for personalized shared decision making for multiple long-term conditions.

Original languageEnglish
Title of host publicationpHealth 2020 - Proceedings of the 17th International Conference on Wearable Micro and Nano Technologies for Personalized Health
EditorsBernd Blobel, Lenka Lhotska, Peter Pharow, Filipe Sousa
Volume273
PublisherIOS Press
Publication date4. Sep 2020
Pages258-261
ISBN (Electronic)9781643681122
DOIs
Publication statusPublished - 4. Sep 2020
Event17th International Conference on Wearable Micro and Nano Technologies for Personalized Health, pHealth 2020 - Prague, Czech Republic
Duration: 14. Sep 202016. Sep 2020

Conference

Conference17th International Conference on Wearable Micro and Nano Technologies for Personalized Health, pHealth 2020
Country/TerritoryCzech Republic
CityPrague
Period14/09/202016/09/2020
SeriesStudies in Health Technology and Informatics
Volume273
ISSN0926-9630

Keywords

  • Decision aid
  • Long term condition
  • Multi-criteria decision analysis
  • Multimorbidity
  • NICE
  • Preference-sensitive
  • Decision Making

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