Patient Work of COVID-19 Self-Management: A Characterization of Patient-Facing Guidance
TimeThursday, April 152:00pm - 3:00pm EDT
LocationPatient Safety Research and Initiatives
DescriptionHuman factors research has focused on identifying facilitators and barriers to healthcare processes in attempts to create safer and more patient-centered care (Holden et al, 2013). SEIPS 2.0 is a conceptual framework that takes into account system complexity to better understand factors that facilitate and hinder performance. Some of the components that this framework comprises are tasks, tools and technologies, organizational elements, and environment. In reviewing the factors proposed in the SEIPS 2.0 model (Holden et al, 2013), they should be considered to determine their role within the system. Then they can be applied contextually to the work of patients or providers in and outside of the healthcare system. The understanding that multiple interacting factors and processes associated with managing one's health within and outside the healthcare system is critical to informing solutions to facilitate better, safer, and more efficient care. Assessing different factors and the processes that run behind the scenes for them can inform solutions to support the work of everyone involved in the system: healthcare providers and staff, as well as patients and families.
The global COVID-19 pandemic has highlighted the work of lay individuals in managing health and wellness, such as engaging in infection control behaviors, monitoring for COVID-19 symptoms, and managing COVID-19 at home (outside of the healthcare system). The human factors perspective is thus relevant in the wake of a global pandemic to understand these things to inform systems to be more effective, efficient, and conducive to caregiving. Healthcare for the average person who did not have COVID-19 was profoundly impacted as providers worked to figure out how to restructure their service to provide for those infected and those who were not. This caused a great deal of issues in the start of the pandemic and in the worst of hot spots they are still not mitigated.
Our objective is to characterize the work of lay individuals in managing COVID-19 at home, including highlighting the key decision points (e.g when to seek medical care). As part of this characterization, we will review the currently available (documented) patient-facing guidance associated with COVID-19 management. We will use SEIPS 2.0 as a guide to identify and describe tasks, processes, technologies, and other resources associated with COVID-19 management and decision making.