Patient-centered care encourages active involvement of patients in their own treatment and a collaborative perspective on the relationship between patient and practitioner. However, to achieve constructive patient–practitioner collaboration in medical consultations the partakers need to successfully interact across conceptual boundaries that can impede intersubjectivity, i.e., the construction of shared meanings and understandings in communicative activities. We present a synthesis of a user-centered approach to designing interactive technology supporting collaboration in face-to-face consultations related to audiological (hearing) rehabilitation. Specifically, we focus on the case of hearing aid tuning, and on the design and utility assessment of a prototype sound environment simulator intended to support the process by helping the patient and the practitioner build a joint understanding of the individual patient’s hearing problem and perceived effects of treatment actions. We describe an empirical and qualitative investigation that calls specific attention to the multi-dimensional boundaries involved in collocated patient–practitioner interactions, and to the explorative and situated nature of the consultation as a collaborative problem-solving process. Here, various micro-practices play a key role in gradually forming a better understanding of the problem at hand and in identifying appropriate treatment steps. Our findings suggest that patient–practitioner collaboration can benefit from interactive technology, which is sufficiently flexible or open-ended in terms of use to accommodate, or be appropriated, to the immediate needs of the situation. We argue that designing technology with the aim of enhancing existing practices of intersubjectivity, rather than doing away with them, improves the chances of enriching collocated patient–practitioner interaction and reduces risk of obstructing it. The main research contribution is an increased understanding of the medical consultation as an instance of collocated collaborative work and learning, and the challenges and opportunities that lie in co-designing interactive solutions that can help the patient take an active and contributing part in the situation.

以患者为中心的护理鼓励患者积极参与他们自己的治疗，并就患者与从业者之间的关系提出协作观点。但是，为了在医学会诊中实现建设性的患者-从业者合作，参与者需要成功跨越可能阻碍主体间性的概念边界进行互动，即在交流活动中构建共同的意义和理解。我们提出了一种以用户为中心的方法，用于设计交互式技术，以支持与听力学（听力）康复相关的面对面咨询中的协作。具体来说，我们专注于助听器调音的情况，以及旨在通过帮助患者和从业人员建立对单个患者的听力问题和治疗措施的感知效果的共同理解来支持该过程的原型声音环境模拟器的设计和实用性评估。我们描述了一项经验和定性研究，它特别关注与患者-从业人员并置在一起涉及的多维边界，以及作为协作式问题解决过程的咨询的探索性和定位性。在这里，各种微观实践在逐步形成对当前问题的更好理解以及确定适当的治疗步骤中起着关键作用。我们的发现表明，医患合作可以受益于互动技术，在使用方面具有足够的灵活性或开放性，以适应或适应情况的紧急需求。我们认为设计技术的目的是增强现有的主体间性实践，而不是摒弃它们，从而增加了丰富的患者与从业者并置互动的机会，并降低了阻碍其互动的风险。主要的研究贡献是对并置协作工作和学习实例的医疗咨询有了更多的了解，以及共同设计可帮助患者积极参与并为患者提供帮助的交互式解决方案所面临的挑战和机遇。我们认为设计技术的目的是增强现有的主体间性实践，而不是摒弃它们，从而增加了丰富的患者与从业者并置互动的机会，并降低了阻碍其互动的风险。主要的研究贡献是对并置协作工作和学习实例的医疗咨询有了更多的了解，以及共同设计可帮助患者积极参与并为患者提供帮助的交互式解决方案所面临的挑战和机遇。我们认为设计技术的目的是增强现有的主体间性实践，而不是摒弃它们，从而增加了丰富的患者与从业者并置互动的机会，并降低了阻碍其互动的风险。主要的研究贡献是对并置协作工作和学习实例的医疗咨询有了更多的了解，以及共同设计可帮助患者积极参与并为患者提供帮助的交互式解决方案所面临的挑战和机遇。