their patients of East Mediterranean Region (original) (raw)
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Background: Person-centered care has long been identified as a key component of health systems and one of the six domains of quality. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR). Methods: A multicountry, cross-sectional study was conducted in 6 countries of EMR during July 2012 to September 2012. From each country, an expert Family Physician (FP) was identified and invited for the study. During the first phase, 190 FPs practicing for at least 6 months were recruited. In the second phase, the recruited FPs approached 300 patients aged > 18 years with 1 or more recurring problems. Data analysis was conducted using SPSS version 19. Results: Of a total of 360 patients, 53% were between 25-40 years of age and the majority 55.7% were females. Among physicians, 66.8% were females and 72.1% had undergone specialization in Family Medicine from EMR. About 36% of the patients, while 62.6% of...
European Journal for Person Centered Healthcare, 2013
Background: Person-centered care has long been identified as a key component of health systems and one of the six domains of quality. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR).Methods: A multicountry, cross-sectional study was conducted in 6 countries of EMR during July 2012 to September 2012. From each country, an expert Family Physician (FP) was identified and invited for the study. During the first phase, 190 FPs practicing for at least 6 months were recruited. In the second phase, the recruited FPs approached 300 patients aged > 18 years with 1 or more recurring problems. Data analysis was conducted using SPSS version 19.Results: Of a total of 360 patients, 53% were between 25-40 years of age and the majority 55.7% were females. Among physicians, 66.8% were females and 72.1% had undergone specialization in Family Medicine from EMR. About 36% of the patients, while 62.6% of t...
Background: Person-Centered Care (PCC) is now considered a mandatory approach in Patient-Physician consultation. The aim of the study was to identify patients’ perception regarding barriers and possible remedies for implementation of PCC in Eastern Mediterranean Region (EMR). Methods: A cross-sectional multi-country study was conducted in six countries of EMR during May 2014 to October 2014. Expert Family Physicians from each country were identified and asked to participate in the study. The Family Physicians then recruited Patients from their own clinics (>18 years). Data analysis was performed on SPSS 19 and results are reported in the form of proportions, odds ratios and 95% confidence intervals. Results: A total of 234 patients were recruited, 60.6% were aged between 20 to 30 years and 36.3% of them were males. 56% of the patients preferred Person-Centered Care model for patient-physician consultation. The major barriers identified by patients in its implementing were; time c...
Are we ready for person centered care- 2013
Background: Person-centered care has long been identified as a key component of health systems and one of the six domains of quality. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR). Methods: A multicountry, cross-sectional study was conducted in 6 countries of EMR during July 2012 to September 2012. From each country, an expert Family Physician (FP) was identified and invited for the study. During the first phase, 190 FPs practising for at least 6 months were recruited. In the second phase, the recruited FPs approached 300 patients aged > 18 years with 1 or more recurring problems. Data analysis was conducted using SPSS version 19. Results: Of a total of 360 patients, 53% were between 25-40 years of age and the majority 55.7% were females. Among physicians, 66.8% were females and 72.1% had undergone specialization in Family Medicine from EMR. About 36% of the patients, while 62.6% of the physicians, preferred a person-centered care model of care. Among physicians, field of specialization (AOR= 0.7; 95% C.I: 0.3-0.9) and regularity in continuing medical education sessions (AOR= 0.3; 95% C.I: 0.1-0.5) were significant factors for preferring a person-centered care model. Educational status (AOR= 3.0; 95% C.I: 1.1-7.9) was associated with a preference for person-centered care among patients.
2012
Background: "Access to Person-Centered care" is a major area of concern throughout the world including the Eastern Mediterranean Region. Objective: This networking paper reviews current status, barriers, opportunities, challenges and future directions with regards to "Access to Person-Centered care" in the Eastern Mediterranean Region. Methods: The lead Author from the "Working Party on Research of Eastern Mediterranean Region" invited members through its "yahoo group" to participate in this networking project. Objectives and work plan were developed by the lead Author and shared with interested contributors. Co-Authors and Advisors were invited to contribute and timelines were set for contributors to submit their report. Submissions were collected by lead authors and put into a draft that was shared with contributors for feedback. After incorporating feedback, the final draft was edited by the "Editor" before submission for publication consideration. Results: Access to Person-Centered care in the Eastern Mediterranean Region shows extreme variations. At one end there are oil and gas rich countries that offer advanced health care services to the majority of their local population while on the other end are impoverished countries that are unable to provide even minimum required services to their people. Inequalities in health status have been growing since the mid-1990s and have resulted in an increasing gap between the most advantaged and disadvantaged social groups.
Research on person-centred clinical care
Journal of Evaluation in Clinical Practice, 2011
Rationale, aims and objectives To give a selective review of empirical studies on personcentred clinical care, in particular concerning communication patterns between patients and providers. Methods Descriptive and selective review of relevant literature. Results Person-centred clinical care may have positive effects on patient satisfaction, patient adherence, health care utilization, malpractice litigation and health outcome. Person-centred communication skills may be promoted by way of communication skills training. Conclusion The concept of person-centred care is rare in the empirical literature. Future research should operationalize the concept and design studies of the impact of patientcentred clinical care. Research on person-centred clinical care A. Finset
Person-Centered Primary Health Care: Now More Than Ever
International Journal of Person Centered Medicine, 2015
Background: Person-centered primary health care provides first contact care that is comprehensive, continuous, accessible, compassionate, caring, team-based, and above all else person-centered. Primary care by its very nature is integrative in design and process. It connects and coordinates care for the person and uses shared decision making to help value and respect the person’s choices as they navigate through a complex and fragmented health care system. Objectives: To demonstrate the effectiveness of primary care in achieving the triple aim of better health, better health care, and lower cost. Methods: Critical literature review and evidence based analysis of person-centered primary health care across the world. Results: Primary care is a systems integrator and improves both the quality of care and the lowering of cost to both people and populations. It has been found that the better a country’s primary care system is, the country will have better overall health care outcomes ...
Preliminary Assessment of GPS' Knowledge and Attitude About Person Centred Care
Knowledge International Journal, 2018
Introduction: The European definition of WONCA of general practice introduces the determinant elements of person-centered care regarding four important, interrelated characteristics: continuity of care, patient "empowerment", patient-centred approach, and doctor-patient relationship. The application of person-centred care in general practice refers to the GP's ability to master the patient-centered approach when working with patients and their problems in the respective context; use the general practice consultation to develop an effective doctor–patient relationship, with respect to patient’s autonomy; communicate, set priorities and establish a partnership when solving health problems; provide long-lasting care tailored to the needs of the patient and coordinate overall patient care. This means that GPs are expected to develop their knowledge and skills to use this key competence. Aim: The aim of this study is to make a preliminary assessment of the knowledge and att...
Person-centred care: Bridging current models of the clinician-patient relationship
The International Journal of Person Centered Medicine, 2011
Modern medicine threatens the ability of the clinician and the patient to care, and be cared about as whole, human individuals in health care. However, the interests of patients are put behind those of the population and, on the authority of professionalism and patient-centred care, ahead of those of clinicians. This situation has prompted the development of new models of the clinician-patient relationship: relationship-centred care, care as a 'window mirror' and person-centred care. From my own vantage in primary care, this paper will discuss each of these models against the backdrop of so called patient-centred care. This comparison will apply a common standard that differentiates light from shadow, both as physical phenomena that represent images in the world and as concepts that indicate what is present beyond representation. I conclude that at least in continuing clinician-patient relationships, which still characterize primary care, person-centred care maximizes the range of illumination in which clinicians and patients can be seen as individuals in social interaction.
Patient- or person-centred practice in medicine? - A review of concepts
African journal of primary health care & family medicine, 2017
Person-centred practice in medicine may provide solutions to several pressing problems in health care, including the cost of services, poor outcomes in chronic care and the rise in litigation. It is also an ethical imperative in itself. However, patient- or person-centred care is not well researched partly because of a lack of conceptual and definitional clarity. The aim of this review was to analyse essential elements, ethical principles, logic and the practical application of person-centred practice described in clinician- and researcher-defined conceptual frameworks, terms and practices. A search of review articles on patient- and person-centred care or medicine was conducted using Medline and Google Scholar. Secondary searches were conducted using references and citations from selected articles. Five conceptual frameworks were identified in terms of their practical application of the ethical principles of beneficence, autonomy and justice. They converge around a few central idea...