Institute of Medical Informatics, RWTH Aachen University, Aachen, Germany.
Department of Decision Theory and Financial Services, RWTH Aachen University, Aachen, Germany.
J Int Med Res. 2024 Jul;52(7):3000605241266224. doi: 10.1177/03000605241266224.
Value-focused thinking (VFT) is a decision-making method that places the qualitative elicitation of decisionmakers' objectives at the beginning of the decision-making process. A potential healthcare application of VFT is to elicit patients' objectives to better understand what matters to them. Only then can treatments be tailored accordingly. This is particularly important for patients with life-threatening diseases such as cancer. Thus, this interview study used VFT to elicit the life and treatment objectives of non-terminal oncologic inpatients.
Fifteen cancer inpatients (median age 66 years) were sampled in a German university hospital in September 2019. The participants completed questionnaires, the data of which were used to semi-structure the subsequent interviews. Data were analysed using inductive category formation to identify objectives in the transcribed interviews.
Sixteen objectives in five life domains (optimising physical wellbeing, optimising mental wellbeing, optimising personal life, optimising family life and optimising financial life) were identified.
Comparison of the findings with previous research indicated that VFT is a reliable approach to elicit patients' objectives. The identified objectives could increase understanding of the outcomes that cancer inpatients care about.
价值聚焦思维（VFT）是一种决策方法，它将决策者目标的定性启发放在决策过程的开始。VFT 在医疗保健方面的一个潜在应用是启发患者的目标，以更好地了解他们关心的事情。只有这样，才能相应地调整治疗方案。对于患有危及生命的疾病（如癌症）的患者来说，这一点尤为重要。因此，这项访谈研究使用 VFT 来启发非终末期肿瘤住院患者的生活和治疗目标。
2019 年 9 月，在德国一所大学医院中抽取了 15 名癌症住院患者（中位年龄 66 岁）作为样本。参与者完成了问卷调查，这些数据被用于对随后的访谈进行半结构化。使用归纳类别形成对转录访谈中的目标进行分析。
在五个生活领域（优化身体健康、优化心理健康、优化个人生活、优化家庭生活和优化经济生活）中确定了 16 个目标。
将研究结果与以往的研究进行比较表明，VFT 是启发患者目标的可靠方法。确定的目标可以提高对癌症住院患者关心的结果的理解。
