Patient perspectives of patient-centeredness in medical rehabilitation
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
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.
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 language | English |
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Pages (from-to) | 98-105 |
Number of pages | 8 |
Journal | Patient Education and Counseling |
Volume | 96 |
Issue number | 1 |
Publication status | Published - 5 May 2014 |
Peer-reviewed | Yes |
Externally published | Yes |
External IDs
Scopus | 84902291934 |
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PubMed | 24862911 |
Keywords
Keywords
- Patient-centered care, Shared decision-making, Patient satisfaction, Rehabilitation, Evaluation