An integrative model of patient-centeredness - a systematic review and concept analysis.

<h4>Background</h4>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...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Isabelle Scholl, Jördis M Zill, Martin Härter, Jörg Dirmaier
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/26348fbaf1b741e98279eaed646c964f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:26348fbaf1b741e98279eaed646c964f
record_format	dspace
spelling	oai:doaj.org-article:26348fbaf1b741e98279eaed646c964f2021-11-25T06:00:17ZAn integrative model of patient-centeredness - a systematic review and concept analysis.1932-620310.1371/journal.pone.0107828https://doaj.org/article/26348fbaf1b741e98279eaed646c964f2014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0107828https://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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 codes within the research team and condensed them into an integrative model of patient-centeredness.<h4>Results</h4>4707 records were identified through primary and secondary search, of which 706 were retained after screening of titles and abstracts. 417 articles (59%) contained a definition of patient-centeredness and were coded. 15 dimensions of patient-centeredness were identified: essential characteristics of clinician, clinician-patient relationship, clinician-patient communication, patient as unique person, biopsychosocial perspective, patient information, patient involvement in care, involvement of family and friends, patient empowerment, physical support, emotional support, integration of medical and non-medical care, teamwork and teambuilding, access to care, coordination and continuity of care. In the resulting integrative model the dimensions were mapped onto different levels of care.<h4>Conclusions</h4>The proposed integrative model of patient-centeredness allows different stakeholders to speak the same language. It provides a foundation for creating better measures and interventions. It can also be used to inform the development of clinical guidance documents and health policy directives, and through this support the shift towards patient-centered health care.Isabelle SchollJördis M ZillMartin HärterJörg DirmaierPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 9, p e107828 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Isabelle Scholl Jördis M Zill Martin Härter Jörg Dirmaier An integrative model of patient-centeredness - a systematic review and concept analysis.
description	<h4>Background</h4>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.<h4>Methods</h4>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 codes within the research team and condensed them into an integrative model of patient-centeredness.<h4>Results</h4>4707 records were identified through primary and secondary search, of which 706 were retained after screening of titles and abstracts. 417 articles (59%) contained a definition of patient-centeredness and were coded. 15 dimensions of patient-centeredness were identified: essential characteristics of clinician, clinician-patient relationship, clinician-patient communication, patient as unique person, biopsychosocial perspective, patient information, patient involvement in care, involvement of family and friends, patient empowerment, physical support, emotional support, integration of medical and non-medical care, teamwork and teambuilding, access to care, coordination and continuity of care. In the resulting integrative model the dimensions were mapped onto different levels of care.<h4>Conclusions</h4>The proposed integrative model of patient-centeredness allows different stakeholders to speak the same language. It provides a foundation for creating better measures and interventions. It can also be used to inform the development of clinical guidance documents and health policy directives, and through this support the shift towards patient-centered health care.
format	article
author	Isabelle Scholl Jördis M Zill Martin Härter Jörg Dirmaier
author_facet	Isabelle Scholl Jördis M Zill Martin Härter Jörg Dirmaier
author_sort	Isabelle Scholl
title	An integrative model of patient-centeredness - a systematic review and concept analysis.
title_short	An integrative model of patient-centeredness - a systematic review and concept analysis.
title_full	An integrative model of patient-centeredness - a systematic review and concept analysis.
title_fullStr	An integrative model of patient-centeredness - a systematic review and concept analysis.
title_full_unstemmed	An integrative model of patient-centeredness - a systematic review and concept analysis.
title_sort	integrative model of patient-centeredness - a systematic review and concept analysis.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/26348fbaf1b741e98279eaed646c964f
work_keys_str_mv	AT isabellescholl anintegrativemodelofpatientcenterednessasystematicreviewandconceptanalysis AT jordismzill anintegrativemodelofpatientcenterednessasystematicreviewandconceptanalysis AT martinharter anintegrativemodelofpatientcenterednessasystematicreviewandconceptanalysis AT jorgdirmaier anintegrativemodelofpatientcenterednessasystematicreviewandconceptanalysis AT isabellescholl integrativemodelofpatientcenterednessasystematicreviewandconceptanalysis AT jordismzill integrativemodelofpatientcenterednessasystematicreviewandconceptanalysis AT martinharter integrativemodelofpatientcenterednessasystematicreviewandconceptanalysis AT jorgdirmaier integrativemodelofpatientcenterednessasystematicreviewandconceptanalysis
_version_	1718414269756735488

An integrative model of patient-centeredness - a systematic review and concept analysis.

Ejemplares similares