Patient-Specific Self-Care Determinant Prioritization System
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Solution Overview
Problem
Patients with chronic conditions face challenges in adhering to self-care behaviors due to varying determinants that influence their ability to comply, and often lack understanding of how these behaviors impact their clinical outcomes, leading to poor health outcomes and frequent hospital readmissions.
Innovation Solution
A system and method for generating a patient-specific prioritized list of determinants to guide clinicians in designing care plans, and an interactive tool for patients to understand the effects of self-care behaviors on their health, using data processing elements and assessment tools to assign weights and calculate contributions of determinants to self-care behaviors.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of manufacture
If a generic self-care program is provided to all patients, then the program is easy to implement and low cost, but it does not address patient-specific determinants and leads to poor adherence
Solution Approach 1:
The self-care program is segmented into patient-specific modules based on individual determinant assessments. The system divides the population into segments with similar determinant profiles and provides tailored self-care recommendations for each segment, rather than a one-size-fits-all approach.
Solution Approach 2:
The system performs preliminary assessment of patient determinants (barriers and facilitators) before prescribing self-care behaviors. This preliminary action identifies patient-specific needs and preferences, enabling the customization of self-care programs that are more likely to be adhered to.
2Reliability
If comprehensive patient assessment and personalized care plans are implemented, then adherence to self-care behaviors improves, but the system complexity and resource requirements increase
Solution Approach 1:
The system uses a universal framework for assessing determinants and generating care plans that can be applied across diverse patient populations and chronic conditions. The same core assessment tools and algorithms serve multiple functions: identifying barriers, selecting appropriate self-care behaviors, and tailoring interventions to individual patient needs.
Solution Approach 2:
The system changes key parameters of the care delivery model: it shifts from fixed, provider-directed care to flexible, patient-centered care by modifying parameters such as patient autonomy, care customization level, and intervention intensity based on individual determinant profiles.
3Loss of information
If patients are provided with detailed information about how self-care behaviors affect clinical outcomes, then patient understanding and motivation improve, but the amount of information to be processed increases
Solution Approach 1:
The system provides information about clinical outcomes locally tailored to each patient's specific self-care behaviors and determinant profile. Rather than providing generic information about all possible self-care behaviors, the system delivers targeted information about how specific behaviors will impact the patient's individual health goals and conditions.
Solution Approach 2:
The system implements feedback mechanisms that show patients the expected impact of their self-care behaviors on clinical outcomes. This feedback loop helps patients understand the connection between their actions and health results, motivating continued adherence to personalized self-care plans.
Data Source
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AI summary
A non-transitory computer-readable storage medium storing a set of instructions executable by a processor, the set of instructions, when executed by the processor, causing the processor to perform operations including receiving a self-care assessment from a patient having a medical condition. The self- care assessment assesses the patient's level of ability for each of a plurality of determinants. The operations also include assigning a weight to each of the plurality of determinants. The operations also include creating an ordered list including the plurality of determinants. The determinants are ordered based on the corresponding weights. The operations also include determining a plurality of behavior-specific contributions. Each of the behavior-specific contributions corresponds to one of the determinants and to one of a plurality of self-care behaviors relevant to the medical condition.