Use of Game Theory to model patient engagement after surgery: a qualitative analysis

Castellanos, Stephen A.; Buentello, Gerardo; Gutierrez-Meza, Diana; Forgues, Angela; Haubert, Lisa; Artinyan, Avo; Macdonald, Cameron Lynne; Suliburk, James W.

doi:10.1016/j.jss.2017.07.039

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…Other related concepts that appear in working definitions include patient participation (Cook et al, 2013 ; Heggland & Hausken, 2013 ; McTier et al, 2013 , 2016 ; Papastavrou et al, 2015 ; Wilcox et al, 2016 ), patient activation (Cook et al, 2013 ; Wilcox et al, 2016 ) and patient empowerment (Aasa et al, 2013 ; Cook et al, 2013 ; Lane‐Carlson & Kumar, 2012 ). In sum, surgical patient engagement during the perioperative period has been conceptualised as provision of information (Cook et al, 2013 ; Lane‐Carlson & Kumar, 2012 ; Wilcox et al, 2016 ), communication (Castellanos et al, 2018 ; Hanucharurnkui & Vinya‐nguag, 1991 ; Heggland & Hausken, 2013 ), decision‐making (Heggland & Hausken, 2013 ), patients' actions (McTier et al, 2013 , 2016 ; Wilcox et al, 2016 ), as well as perceived control by the patient (Aasa et al, 2013 ; Cook et al, 2013 ; Mahler & Kulik, 1990 ; Papastavrou et al, 2015 ) and patient–provider relationship (Aasa et al, 2013 ; Lane‐Carlson & Kumar, 2012 ; Papastavrou et al, 2015 ; Wilcox et al, 2016 ).…”

Section: Resultsmentioning

confidence: 99%

“…Communication was discussed in six studies (20.6%) (Castellanos et al, 2018 ; Henselmans et al, 2012 ; Kaptain et al, 2017 ; McTier et al, 2013 ; Timonen & Sihvonen, 2000 ; Trummer et al, 2006 ; Wilcox et al, 2016 ) It was defined as the exchange of information between patients and their clinicians. Unlike provision of information, communication involves two‐way exchange of information (verbal and non‐verbal) and includes communications with the family or carers.…”

Section: Resultsmentioning

confidence: 99%

“…Communication was discussed in six studies (20.6%) (Castellanos et al, 2018;Henselmans et al, 2012;Kaptain et al, 2017;McTier et al, 2013;Timonen & Sihvonen, 2000;Trummer et al, 2006;Wilcox et al, 2016) Communication between patients and clinicians is a complex dynamic, not only impacted by the skills and capacity of both clinicians and patients to communicate, but also by patients' preparedness and their psychosocial features.…”

Section: Communicationmentioning

confidence: 99%

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Patient engagement in perioperative settings: A mixed method systematic review

Cooper

Cleary

Stelmach

et al. 2023

Journal of Clinical Nursing

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BackgroundPatient engagement has emerged as a key focus in the research literature to facilitate patients' recovery. The term is commonly used by researchers, yet without working definitions. This lack of clarity is further complicated by the interchangeable use of a few terms.ObjectivesThis systematic review aimed at identifying how patient engagement was conceptualised and operationalised in perioperative settings.MethodsMEDLINE, EMBASE, CINAHL and the Cochrane Library were searched for publications in English discussing patient engagement during the perioperative phase. Three reviewers conducted study selection and methodological assessment using Joanna Briggs Institute mixed methods review framework. Reflexive thematic analysis was used to analyse qualitative data and descriptive analysis for quantitative data.FindingsTwenty‐nine studies were included with a total sample of 6289. Study types included qualitative (n = 14) and quantitative (n = 15) with different types of surgery. Sample sizes ranged from n = 7 to n = 1315. Only 38% (n = 11) of included studies offered an explicit definition. Four themes associated with operationalisation included provision of information, which was most studied theme, communication, decision‐making and action‐taking behaviours. All four themes were interconnected and co‐dependent on each other.ConclusionsPatient engagement in perioperative settings is a complex and multifaceted concept. The conceptual void in the literature calls for more theoretically informed and comprehensive approaches to researching surgical patient engagement. Future research should aim to better understand the factors that influence patient engagement, as well as the impact of different forms of engagement on patient outcomes through the whole surgical journey of a patient.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Communication was discussed in six studies (20.6%) (Castellanos et al, 2018;Henselmans et al, 2012;Kaptain et al, 2017;McTier et al, 2013;Timonen & Sihvonen, 2000;Trummer et al, 2006;Wilcox et al, 2016) Communication between patients and clinicians is a complex dynamic, not only impacted by the skills and capacity of both clinicians and patients to communicate, but also by patients' preparedness and their psychosocial features.…”

Section: Communicationmentioning

confidence: 99%

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Patient engagement in perioperative settings: A mixed method systematic review

Cooper

Cleary

Stelmach

et al. 2023

Journal of Clinical Nursing

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“…Game theory has been used to predict patient engagement after surgery, operating room scheduling policies, quality of medical school teaching, and patient decision-making when choosing a surgeon or procedure. 4,14 The aforementioned examples were chosen to illustrate the basic principles of game theory with the hope that surgeons can apply them to new situations that arise in clinic, operating room, or everyday life.…”

Section: Discussionmentioning

confidence: 99%

Application of Game Theory to Orthopaedic Surgery

Brown

Killen

Schneider

2021

J Am Acad Orthop Surg

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Game theory is branch of mathematical economics that pertains to decision-making and is a conceptual framework for explaining and predicting situational outcomes. 1 In game theory, the games are simplified abstractions of real-life scenarios but often accurately predict human decision-making. The principles of game theory have been applied to a wide range of disciplines including government policy, international relations, sport and military strategy, and evolutionary biology. 1,2 This article will examine some of the classic games and explore their applications to orthopaedic surgery. Game theory is the study of strategy and tactics because it pertains to predicting situational outcomes. A game is a theoretical scenario with a defined set of rules, where people (players) act rationally and in their own self-interest to maximize personal utility-money, time, points, territory, and so forth. Players are assumed to seek a personally optimal strategy independent of their opponent's decisions. Game theoretic principles often accurately predict human behavior; they can provide insight into what drives decision-making and explain how final outcomes arise that are not optimal for the group as a whole, despite individual players acting rationally. These outcomes can be viewed as the result of a conflict between decisions made in self-interest and decisions made for the mutual benefit.Game theory was originally described by mathematician John von Neumann in 1928 and introduced into popular culture by the movie "A Beautiful Mind," a 2001 Hollywood biopic of mathematician John Nash. 3 The principles of game theory have since been applied to a wide range of disciplines including government policy, international relations, sports and military strategy, and evolutionary biology. 2,4 This article will examine some of the classic games and explore their applications to orthopaedic surgery. The goal is not for surgeons to necessarily use game theory in these specific scenarios, but rather raise awareness of game theory principles so this knowledge can be applied to new situations. Once an orthopaedic surgeon is aware of game theory, its instances and applications become ubiquitous in clinic, the operating room, and in everyday life. Prisoner's DilemmaThe prisoner's dilemma is the most well-known game, and a common starting point of game theory teaching 5 (Figure 1). The classic scenario describes two

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“…A game-theoretic signaling model is proposed in [20] that represent patient engagement after medical surgery. This model gathered real patients' data and based upon that defined the 'engagement' in a more qualitative way.…”

Section: Related Workmentioning

confidence: 99%

Disease Classification in Health Care Systems With Game Theory Approach

Raja

Asghar

2020

IEEE Access

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There are numerous cases in real life when we come across problems involving the optimization of multiple objectives simultaneously. One of the complexities of solving such problems is that often one or more objectives are usually conflicting under given conditions. In this study, the benefits of relying on a deployed Clinical Decision Support System (CDSS) concerning the overall reputation of a health facility has been studied. The analysis is performed in terms of a cooperative Bayesian game-theoretic model. The game is played between two players of which the first player is a patient who needs quick and accurate medical attention and the second player is the hospital administration that relies on medical experts as well as integrated multi-objective clinical data classification systems for decision-making. The proposed model ''MEAF''-Multi-objective Evolutionary Algorithm using Fuzzy Genetics attempts to address accuracy and interpretability simultaneously using Evolutionary Algorithms (EAs). This model enables a H CDSS to detect a disease accurately by using the available resources efficiently. The results of our simulation show that H CDSS produces better and accurate results in detecting disease with efficient resource utilization along with the reduced computational cost. This approach has also produced a better response for both players based on Bayesian Nash Equilibrium. Finally, the proposed model has been tested for accuracy, efficient resource utilization, and computationally cost-effective solution.

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Use of Game Theory to model patient engagement after surgery: a qualitative analysis

Cited by 6 publications

References 12 publications

Patient engagement in perioperative settings: A mixed method systematic review

Patient engagement in perioperative settings: A mixed method systematic review

Application of Game Theory to Orthopaedic Surgery

Disease Classification in Health Care Systems With Game Theory Approach

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