Randomized trial of a patient-centered hospital unit (original) (raw)
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Healthcare professionals’ views on patient-centered care in hospitals
BMC Health Services Research, 2015
Background: Patient-centered care (PCC) is a main determinant of care quality. Research has shown that PCC is a multi-dimensional concept, and organizations that provide PCC well report better patient and organizational outcomes. However, little is known about the relative importance of PCC dimensions. The aim of this study was therefore to investigate the relative importance of the eight dimensions of PCC according to hospital-based healthcare professionals, and examine whether their viewpoints are determined by context. Methods: Thirty-four healthcare professionals (16 from the geriatrics department, 15 from a surgical intensive care unit, 3 quality employees) working at a large teaching hospital in New York City were interviewed using Q methodology. Participants were asked to rank 35 statements representing eight dimensions of PCC extracted from the literature: patient preferences, physical comfort, coordination of care, emotional support, access to care, continuity and transition, information and education and family and friends. By-person factor analysis was used to reveal patterns of communality in statement rankings, which were interpreted and described as distinct viewpoints. Results: Three main viewpoints on elements important for PCC were identified: "treating patients with dignity and respect," "an interdisciplinary approach" and "equal access and good outcomes." In these viewpoints, not all dimensions were equally important for PCC. Furthermore, the relative importance of the dimensions differed between departments. Context thus appeared to affect the relative importance of PCC dimensions. Conclusion: Healthcare organizations wishing to improve PCC should consider the relative importance of PCC dimensions in their specific context of care provision, which may help to improve levels of patientcenteredness in a more efficient and focused manner. However, as the study sample is not representative and consisted only of professionals (not patients), the results cannot be generalized outside the sample. More research is needed to confirm our study findings.
Patient Centered Care and Centeredness Perspective
Universal Journal of Public Health, 2022
Background: Patient-centred care (PCC) helps multidisciplinary health teams to follow informed decision-making practices, and improved healthcare treatments are ensured for patients. The need for significant changes in the healthcare system can be identified with the help of centred patient care, and new healthcare systems are designed and revolve around patient needs. The purpose of the review was to evaluate patient-centred care and the concept of centeredness. Review results: PCC assists in meeting the targets of healthcare settings for patients. This aids the health team to ensure that patient nutrition, cleanliness, emotional, physical comfort, and psychological needs are fulfilled. PCC contributes to reducing the length of patient stay at the hospital, and chances of future admission to the hospital are also lowered. The review may assist to develop better insight into patient-centred care, its dimensions, possible benefits of PCC and perspectives of centeredness. Conclusion: patient-centred care aids to meet the objectives of improved patient care outcomes, lower treatment costs, and increased satisfaction with the quality of health care facilities cared for in the health sector. Healthcare organizations have begun to focus on individualised-oriented care, and they no longer follow traditional procedures to meet the needs of patients. The patient-centred care model showed that health care providers could be dedicated to their work and ready to meet the health expectations set for patients. PCC reduces patients’ length of stay in the hospital, and the chances of recovery from chronic illness also increase. This review contributes to the field of health by highlighting important aspects of patient-centred care that would create cost-effective care, improve hospital services, emphasise communication and promote aspects of patient caring skills.
The purpose of this paper is to identify health outcomes and financial benefits of Patient-Centered Care methods and practices in hospital care. Patient-Centered Care is a concept that supports the involvement of both patients and their families in the patient's care experience. The public health relevance is that Patient-Centered Care practices and methods are essential in improving health care and positively affecting the health of patients. Patient-Centered Care practices and methods are highlighted to show the versatility of best care practices. Based on evidence, Patient-Centered Care methods and practices are being accepted as a new delivery of care to ensure better health outcomes and secure efficiency and effectiveness of healthcare systems in the United States.
Health Communication, 2017
There is limited evidence of the extent to which Healthcare professionals implement patient-centered care (PCC) and of the factors influencing their PCC practices in acute care organizations. This study aimed to (1) examine the practices reported by health professionals (physicians, nurses, social workers, other healthcare providers) in relation to three PCC components (holistic, collaborative, and responsive care), and (2) explore the association of professionals' characteristics (gender, work experience) and a contextual factor (caseload), with the professionals' PCC practices. Data were obtained from a large scale cross-sectional study, conducted in 18 hospitals in Ontario, Canada. Consenting professionals (n = 382) completed a self-report instrument assessing the three PCC components and responded to standard questions inquiring about their characteristics and workload. Small differences were found in the PCC practices across professional groups: (1) physicians reported higher levels of enacting the holistic care component; (2) physicians, other healthcare providers, and social workers reported implementing higher levels of the collaborative care component; and (3) physicians, nurses, and other healthcare providers reported higher levels of providing responsive care. Caseload influenced holistic care practices. Interprofessional education and training strategies are needed to clarify and address professional differences in valuing and practicing PCC components. Clinical guidelines can be revised to enable professionals to engage patients in care-related decisions, customize patient care, and promote interprofessional collaboration in planning and implementing PCC. Additional research is warranted to determine the influence of professional, patient, and other contextual factors on professionals' PCC practices in acute care hospitals. Worldwide, patient-centered care (PCC) is acknowledged as an effective approach for providing high-quality care across primary, acute, and long-term care settings (World Health Organization, 2007). PCC focuses on the whole person and consists of respecting the patients' needs and preferences, and of delivering care that is responsive to their needs and preferences (Institute of Medicine, 2001). Results of systematic reviews have reported a number of advantages of PCC. PCC facilitates patients' engagement in care-related decisions, involvement in and adherence to their plan of care, which, in turn, lead to enhanced satisfaction with care and improved outcomes (Rathert, Wyrwich, & Boren, 2013; Rocco, Scher, Basberg, Yalamanchi, & Baker-Genaw, 2011). The implementation of PCC can promote professionals' job satisfaction, reduce malpractice complaints (Hudon, Fortin, Haggerty, & Poitras, 2011), and decrease healthcare costs (Rathert et al., 2013). These benefits have been translated into the generation of policies that support PCC in many countries, including the United States and the United Kingdom (Richards, Coulter, & Wicks, 2015). Accordingly, a growing number of healthcare organizations are embracing PCC, as reflected in their vision statements that inform the design and implementation of services and guide the practices of professional groups.
Patient-Centered Care: A Panacea to Quality Health Care Delivery
CERN European Organization for Nuclear Research - Zenodo, 2022
Patients' satisfaction with quality of care is viewed as the extent to which the patients' desired expectations, objectives and preferences are achieved via their interaction with health care workers, nurses inclusive. Patient-Centred-Care represents a paradigm shift in how patients, providers, and other participants think about the processes of treatment and healing. The aim of patient-centered health care is to enable patients to be active participants in their care. The patient-centered care is hinged on a holistic approach to health care that considers the whole person instead of in a narrow perspective where the emphasis lies on the illness or the symptoms. Patient centred approach via partnership between patient and the health care workforce is therefore recommended for quality health care delivery in our hospitals.
Designing a Conceptual Model for Patient-Centered Care -A Patient Perspective
Research journal of science and IT management, 2014
Patient-centered care is the approach that could reduce health inequalities by preparing health care providers to deliver care that is respectful and responsive to the preferences of every patient. Patient-centered care is oneadvanced approach to the planning, distribution, and assessment of healthcare which is mutuallyvaluable among patients, families, and providers. Patient-centered care is practiced in any healthcare setting which applies to all the patients of different age groups and that is why different models for patient-centered care are designed and used. There is a need for identifying an effective tool to develop a systematic measurement process. The main purpose of the study is to give out a model for patient-centered care management process. Through literature review, the aspects of patient-centered care has been identified which has also led to decreasing average length of stay of patients, efficient and effective treatments which in turn has improved patient satisfaction. Therefore, the patient-centered care model has been recognized as an important aspect for quality health care delivery system. After identifying the aspects, data collection was done from patients by the use of judgement sampling method. For analysis, Structural equation modelling was used.The results of the study shows which aspect of patient centered care has the greater impact on each other and finally leads to doctor's relationship with patients.