Patient-Centered Approaches to Health Care (original) (raw)
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Patient-Centered Approaches to Health Care: A Systematic Review of Randomized Controlled Trials
Medical care research and review : MCRR, 2013
There is growing interest in patient-centered care, but there is little guidance about the interventions required for its delivery and whether it leads to better health outcomes. This systematic review evaluates the efficacy of patient-centered care interventions for people with chronic conditions. Thirty randomized controlled trials were identified from health-related databases. The findings indicated that most interventions were based on the notion of empowering care and included attempts to educate consumers or prompt them about how to manage a health consultation. Other common interventions focused on training providers in delivering empowering care. Although it was difficult to draw firm conclusions because of the moderate to high risk of bias of the research designs, this review has shown some promising findings from implementing a patient-centered care approach. There appeared to be benefits associated with this model of care in terms of patient satisfaction and perceived quality of care.
Scoping review of patient-centered care approaches in healthcare
BMC Health Services Research, 2014
Background: The purpose of this scoping review was to describe how three tenants of patient-centered care provision: communication, partnership, and health promotion are addressed in patient-centered care models/frameworks across the literature. Methods: A scoping review of literature published in English since 1990 was conducted using Medline, CINAHL, and EMBASE. A key term search strategy was employed using "patient-centered care", "client-centered care", "framework" and "model" to identify relevant studies.
MRC Policy Brief, 2002
Background Communication problems in health care may arise as a result of healthcare providers focusing on diseases and their management, rather than people, their lives and their health problems. Patient-centred approaches to care are increasingly advocated by consumers and clinicians and incorporated into training for healthcare providers. The effects of interventions that aim to promote patient-centred care need to be evaluated. Objectives To assess the effects of interventions for healthcare providers that aim to promote patient-centred approaches in clinical consultations.
Interventions for providers to promote a patient-centred approach in clinical consultations
Cochrane Database of Systematic Reviews, 2001
Background Communication problems in health care may arise as a result of healthcare providers focusing on diseases and their management, rather than people, their lives and their health problems. Patient-centred approaches to care are increasingly advocated by consumers and clinicians and incorporated into training for healthcare providers. The effects of interventions that aim to promote patient-centred care need to be evaluated. Objectives To assess the effects of interventions for healthcare providers that aim to promote patient-centred approaches in clinical consultations.
Journal of Evaluation in Clinical Practice, 2008
Objective Patient-centred communication is often employed as a strategy for empowering patients. The purpose of this study was to investigate the relationship between a direct measure of patient empowerment, feeling that one is in control of one's own health and patient satisfaction with communication. Design A cross-sectional survey of family medicine patients was used to test the theory that, in primary care patients, empowerment is related to satisfaction with several aspects of communication after adjusting for health status, age and gender. Interviews were completed with 680 adult patients for whom complete data were available. Results Multiple logistic regression analysis revealed that being highly satisfied with overall communication [adjusted odds ratio (AOR) = 2.08], explanations (AOR = 2.04), listening (AOR = 2.63), use of understandable words (AOR = 2.41) and involvement in decisions (2.34) were positively associated with empowerment. Self-rated health was more strongly related to empowerment than satisfaction with communication in every model tested (AORs ranged from 2.8 to 3.0). Conclusions Reliance solely on patient-centred communication to promote empowerment may be insufficient as well as costly. Instead, improved one-to-one communication between patients and providers should be reserved for clinically complex and urgent situations. For other health matters, referral of patients to community health promotion and education programmes should be considered because this may offer a lower-cost approach to empowerment.
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.
BMC Health Services Research, 2013
Background: The Wagner Model provides a framework that can help to facilitate health system transition towards a chronic care oriented model. Drawing on elements of this framework as well as health policy related to patient centred care, we describe the health needs of patients with chronic illness and compare these with services which should ideally be provided by a patient-centred health system. This paper aims to increase understanding of the challenges faced by chronically ill patients and family carers in relation to their experiences with the health care system and health service providers. Method: We interviewed patients, carers and health care professionals (HCPs) about the challenges faced by people living with complicated diabetes, chronic heart failure or chronic obstructive pulmonary disease. Results: Patients indicated that they had a range of concerns related to the quality of health care encounters with health care professionals (HCPs), with these concerns being expressed as needs or wants. These included: 1) the need for improved communication and information delivery on the part of HCPs; 2) well organised health services and reduced waiting times to see HCPs; 3) help with self care; 4) greater recognition among professionals of the need for holistic and continuing care; and 5) inclusion of patients and carers in the decision making processes. Conclusions: In order to address the challenges faced by people with chronic illness, health policy must be more closely aligned with the identified needs and wants of people affected by chronic illness than is currently the case.
An integrative model of patient-centeredness - a systematic review and concept analysis
PloS one, 2014
Existing models of patient-centeredness reveal a lack of conceptual clarity. This results in a heterogeneous use of the term, unclear measurement dimensions, inconsistent results regarding the effectiveness of patient-centered interventions, and finally in difficulties in implementing patient-centered care. The aim of this systematic review was to identify the different dimensions of patient-centeredness described in the literature and to propose an integrative model of patient-centeredness based on these results. Protocol driven search in five databases, combined with a comprehensive secondary search strategy. All articles that include a definition of patient-centeredness were eligible for inclusion in the review and subject to subsequent content analysis. Two researchers independently first screened titles and abstracts, then assessed full texts for eligibility. In each article the given definition of patient-centeredness was coded independently by two researchers. We discussed co...
Effects of patient-centered care (PCC) as interventions on patient outcomes
International journal of health sciences
Introduction: In the current era of globalization where healthcare organizations are becoming more focused on patient outcomes due to the increasing demand for higher-quality health services, it is necessary to conduct research on the effects of PCC interventions on patient outcomes. Methods: A Systematic review. Search was conducted on several databases like Google Scholar, PUBMED,and Science Direct. Inclusion criteria are PCC intervention which is depicted as a partnership between health care providers and patients. Studies are analyzed based on methodology, type of interventions, outcomes, and effects of the interventions. Eleven tests fulfilled the inclusion criteria. Results: Most of the patient outcomes analyzed in this systematic review show a significant effect on a patient with PCC interventions (72.4%). Length of stay, surgery delay, patient satisfaction, cost of treatment, readmission rate, perception of nursing care, and quality of service are among the outcomes investig...
The impact of patient-centered care on outcomes
Family practice, 2000
The Journal of Family Practice q BACKGROUND: We designed this observational cohort study to assess the association between patient-centered communication in primary care visits and subsequent health and medical care utilization.