Patient perspectives of patient-centeredness in medical rehabilitation

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Linda Zimmermann - , University of Freiburg (Author)
  • Annika Konrad - , University of Freiburg (Author)
  • Christian Mueller - , University of Freiburg, Saarland University (Author)
  • Manfred Rundel - , Celenus-Klinik Offenburg (Author)
  • Mirjam Koerner - , University of Freiburg (Author)

Abstract

Objective: Achieving patient-centeredness requires a paradigm shift in the provider–patient interaction. Participation, information, communication, and interaction are essential indicators in this area. The study examined the evaluation and implementation of indicators of patient-centeredness for chronically ill patients and center-specific differences in this regard.

Methods: This cross-sectional study with mixed-method design combined focus groups and a questionnaire survey at 5 rehabilitation centers. The analysis included a qualitative component with summarizing content analysis and a descriptive-exploratory quantitative component.

Results: Patients (N = 32) rated the indicators of patient-centeredness favorably to very favorably (on a scale of 1 = very good to 6 = unsatisfactory). The centers exhibited significant differences in “patient participation” (p < .05). Dominant topics voiced in the focus groups were the desire for more individualized treatment (n = 30) and more specific and rapid feedback on treatment goals (n = 13).

Conclusion: Considerable between-center differences exist, particularly in patients’ opportunity to participate in treatment planning, which can be a starting point for improvements.

Practice implications: Rehabilitation centers should ask patients to evaluate indicators of patient-centeredness and develop targeted actions for improvement. The patient survey shows that patients would like improvements in patient-centeredness in the overall rehabilitation system, particularly regarding patient participation, and training in this area is recommended.

Details

Original languageEnglish
Pages (from-to)98-105
Number of pages8
JournalPatient Education and Counseling
Volume96
Issue number1
Publication statusPublished - 5 May 2014
Peer-reviewedYes
Externally publishedYes

External IDs

Scopus 84902291934
PubMed 24862911

Keywords

Keywords

  • Patient-centered care, Shared decision-making, Patient satisfaction, Rehabilitation, Evaluation

Library keywords