Defining and implementing patient-centered care: An umbrella review. Grover S, et al, Patient Educ Couns 2022.
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Résumé et points clés
Objectives: Patient- or person-centered care (PCC) integrates people's preferences, values, and beliefs into health decision-making. Gaps exist for defining and implementing PCC; therefore, we aimed to identify core elements of PCC and synthesize implementation facilitators and barriers.
Methods: We conducted an overview of systematic reviews (umbrella review) and included peer-reviewed literature for adults in community/primary care settings. Two reviewers independently screened at Level 1 and 2, extracted data and appraised the quality of reviews. Three reviewers conducted a thematic analysis, and we present a narrative synthesis of findings.
Results: There were 2371 citations screened, and 10 systematic reviews included. We identified 10 PCC definitions with common elements, such as patient empowerment, patient individuality, and a biopsychosocial approach. Implementation factors focused on communication, training healthcare providers, and organizational structure.
Conclusions: We provide a synthesis of key PCC elements to include in a future definition, and an overview of elements to consider for implementing PCC into practice. We extend existing literature by identifying clinician empowerment and culture change at the systems-level as two future areas to prioritize to enable routine integration of PCC into practice. PRACTICE
Implications: Findings may be useful for researchers and or health providers delivering and evaluating PCC.
Références de l'article
- Defining and implementing patient-centered care: An umbrella review.
- Defining and implementing patient-centered care: An umbrella review.
- Grover S, Fitzpatrick A, Azim FT, Ariza-Vega P, Bellwood P, Burns J, Burton E, Fleig L, Clemson L, Hoppmann CA, Madden KM, Price M, Langford D, Ashe MC
- Patient education and counseling
- 2022
- Patient Educ Couns. 2022 Jul;105(7):1679-1688. doi: 10.1016/j.pec.2021.11.004. Epub 2021 Nov 16.
- Adult, *Communication, Health Personnel, Humans, Patient Participation, *Patient-Centered Care, Systematic Reviews as Topic
- Soins, Soins_centrés_sur_la_personne, Communication, Soins_centrés_sur_la_personne, Revue_ombrelle, Revue_systématique
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- Traduction automatique en Français sur Google Translate
- DOI: 10.1016/j.pec.2021.11.004
- PMID: 34848112
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