A Framework for incorporating patient preferences to deliver participatory medicine via interdisciplinary healthcare teams

Participatory medicine refers to the equal participation of patients and interdisciplinary healthcare team (IHT) members as part of care delivery. Facilitating workflow execution is a significant challenge for participatory medicine because of the need to integrate IHT members into a common workflow. A further challenge is that patient preferences should be considered when executing a workflow. To date there is limited research on supporting patient workflow as part of participatory medicine practices. To address that shortcoming we used a two-phase approach to develop a framework for participatory medicine that integrates different IHT members and workflows including the incorporation of patient preferences about care delivery options. Our framework uses a domain ontology to define the patient, IHT concepts and relations, as well as a workflow for operationalizing participatory medicine via an IHT. Proof of concept of the proposed framework is illustrated with a palliative care pain management case study.