A framework for conceptualizing how narratives from health-care consumers might improve or impede the use of information about provider quality

Consumers choosing a health-care provider have access to diverse information including narratives by patients about their prior experiences. However, little research has examined how narratives might improve or impede the use of information about the quality of providers’ performance. This paper des...

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Autores principales:	Melissa Finucane, Steven Martino, Andrew Parker, Mark Schlesinger, Rachel Grob, Jennifer Cerully, Lise Rybowski, Dale Shaller
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2018
Materias:	narrative quality reporting patient decisions choice of provider Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/c74e1de9a1f943aa92a23ca53a3544d9
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spelling	oai:doaj.org-article:c74e1de9a1f943aa92a23ca53a3544d92021-11-15T04:25:45ZA framework for conceptualizing how narratives from health-care consumers might improve or impede the use of information about provider quality2372-0247https://doaj.org/article/c74e1de9a1f943aa92a23ca53a3544d92018-04-01T00:00:00Zhttps://pxjournal.org/journal/vol5/iss1/5https://doaj.org/toc/2372-0247Consumers choosing a health-care provider have access to diverse information including narratives by patients about their prior experiences. However, little research has examined how narratives might improve or impede the use of information about the quality of providers’ performance. This paper describes a conceptual framework for examining mechanisms by which narrative information might influence consumer judgments and decisions about providers. We conducted a conceptual review of risk communication and behavioral decision research. We synthesized the literature to form the foundation of a conceptual framework for assessing how narrative information about provider quality impacts consumer decisions about providers.<strong> </strong>We identified four key characteristics of narratives (convey emotion; explain logic; provide relational information; and capture naturalistic experience) that may address four consumer needs (avoid surprise and regret; recognize dominant options; motivate to act or not act; and make multi-attribute tradeoff decisions). We also identified three main functions of narratives (provide a simple, powerful cue; imbue quality information with meaning; and stimulate cognition and behavior) in four decision contexts (short-term treatments; external disruptions; chronic illness; problematic experiences). A rigorous research program can be derived from the conceptual framework to generate evidence-based recommendations about whether and how patient narratives might encourage: (1) more reasoned decisions; (2) consistency with a patient’s own values/preferences; and (3) engagement with provider quality information. Research results can be used then to develop robust guidance for health communicators reporting diverse and often incommensurate performance metrics.Melissa FinucaneSteven MartinoAndrew ParkerMark SchlesingerRachel GrobJennifer CerullyLise RybowskiDale ShallerThe Beryl Institutearticlenarrativequality reportingpatient decisionschoice of providerMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	narrative quality reporting patient decisions choice of provider Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	narrative quality reporting patient decisions choice of provider Medicine (General) R5-920 Public aspects of medicine RA1-1270 Melissa Finucane Steven Martino Andrew Parker Mark Schlesinger Rachel Grob Jennifer Cerully Lise Rybowski Dale Shaller A framework for conceptualizing how narratives from health-care consumers might improve or impede the use of information about provider quality
description	Consumers choosing a health-care provider have access to diverse information including narratives by patients about their prior experiences. However, little research has examined how narratives might improve or impede the use of information about the quality of providers’ performance. This paper describes a conceptual framework for examining mechanisms by which narrative information might influence consumer judgments and decisions about providers. We conducted a conceptual review of risk communication and behavioral decision research. We synthesized the literature to form the foundation of a conceptual framework for assessing how narrative information about provider quality impacts consumer decisions about providers.<strong> </strong>We identified four key characteristics of narratives (convey emotion; explain logic; provide relational information; and capture naturalistic experience) that may address four consumer needs (avoid surprise and regret; recognize dominant options; motivate to act or not act; and make multi-attribute tradeoff decisions). We also identified three main functions of narratives (provide a simple, powerful cue; imbue quality information with meaning; and stimulate cognition and behavior) in four decision contexts (short-term treatments; external disruptions; chronic illness; problematic experiences). A rigorous research program can be derived from the conceptual framework to generate evidence-based recommendations about whether and how patient narratives might encourage: (1) more reasoned decisions; (2) consistency with a patient’s own values/preferences; and (3) engagement with provider quality information. Research results can be used then to develop robust guidance for health communicators reporting diverse and often incommensurate performance metrics.
format	article
author	Melissa Finucane Steven Martino Andrew Parker Mark Schlesinger Rachel Grob Jennifer Cerully Lise Rybowski Dale Shaller
author_facet	Melissa Finucane Steven Martino Andrew Parker Mark Schlesinger Rachel Grob Jennifer Cerully Lise Rybowski Dale Shaller
author_sort	Melissa Finucane
title	A framework for conceptualizing how narratives from health-care consumers might improve or impede the use of information about provider quality
title_short	A framework for conceptualizing how narratives from health-care consumers might improve or impede the use of information about provider quality
title_full	A framework for conceptualizing how narratives from health-care consumers might improve or impede the use of information about provider quality
title_fullStr	A framework for conceptualizing how narratives from health-care consumers might improve or impede the use of information about provider quality
title_full_unstemmed	A framework for conceptualizing how narratives from health-care consumers might improve or impede the use of information about provider quality
title_sort	framework for conceptualizing how narratives from health-care consumers might improve or impede the use of information about provider quality
publisher	The Beryl Institute
publishDate	2018
url	https://doaj.org/article/c74e1de9a1f943aa92a23ca53a3544d9
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A framework for conceptualizing how narratives from health-care consumers might improve or impede the use of information about provider quality

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