Locating Patient Expertise in Everyday Life.
Locating Patient Expertise in Everyday Life.
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在日常生活中找到患者的专业知识。
DOI：
10.1145/1531674.1531718
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Pratt,Wanda
中科院分区：
文献类型：
--
作者：
Civan,Andrea;McDonald,DavidW;Unruh,KentonT;Pratt,Wanda
应对新的健康问题通常需要个人获得管理个人健康的知识和技能。许多病人在医疗保健系统的正式范围之外相互寻求经验性的专业知识。基于互联网的社交软件可以促进患者之间的专业知识共享，但仅为用户提供有限的方式来定位患者专业知识的来源。虽然许多先前的研究已经调查了专业知识的位置和系统，以增加工作场所组织的专业知识共享，这种知识的可转移性，如个人健康，是不清楚的。从以前的工作中得出的专业知识定位框架的指导下，我们进行了一项实地研究，以调查专业知识定位在非正式和日常背景下的妇女诊断为乳腺癌。患者的专业知识定位的做法和工作场所组织的专业人士的做法之间的相似性表明，类似的支持策略可以适用于这两种情况。然而，与专业人士不同，未经请求的建议往往会促使患者找到专业知识。他们通过各种形式的把关来识别专业知识。患者面临的问题的高风险性质也导致他们使用三角测量策略，以预测专业知识位置的故障。基于这些关键差异，我们探索了五个设计添加到社会软件，可以支持患者在他们的关键需要，以找到患者的专业知识。
Coping with a new health issue often requires individuals to acquire knowledge and skills to manage personal health. Many patients turn to one another for experiential expertise outside the formal bounds of the health-care system. Internet-based social software can facilitate expertise sharing among patients, but provides only limited ways for users to locate sources of patient expertise. Although much prior research has investigated expertise location and systems to augment expertise sharing in workplace organizations, the transferability of this knowledge to other contexts, such as personal health, is unclear. Guided by expertise locating frameworks drawn from prior work, we conducted a field study to investigate expertise locating in the informal and everyday context of women diagnosed with breast cancer. Similarities between patients' expertise locating practices and practices of professionals in workplace organizations suggest similar support strategies could apply in both contexts. However, unlike professionals, unsolicited advice often triggered patients to locate expertise. They identified expertise through various forms of gatekeeping. The high-stakes nature of problems patients faced also led them to use triangulation strategies in anticipation of breakdowns in expertise location. Based on these key differences, we explored five design additions to social software that could support patients in their critical need to locate patient expertise.