Patient-Centered Decision Making and Health Care Outcomes

Abstract

U.S. Department of Veterans Affairs, Health Services Research & Development Service.

Influence of Elective versus Emergent Hospital Admission on Patient Satisfaction

“…[3][4][5][6][7][8] However, it remains unclear whether widely used measures of patient satisfaction capture nuanced dimensions of patient-centeredness, 9 such as the physician-patient partnership 8 or physicians' responsiveness to patients' contextual factors or emotions. 40,41 Our findings nevertheless suggest that some types of health care utilization, in this case elective hospitalization, may increase satisfaction. Further study is needed to clarify the relationship between care content and satisfaction with providers, in particular whether satisfaction is associated with the use of lower-value services.…”

Novel Patient‐Centered Approach to Facilitate Same‐Day Discharge in Patients Undergoing Elective Percutaneous Coronary Intervention

“…Patient‐centered care is the provision of care that is individualized and responsive to individual patient characteristics and needs 15. We developed and implemented a decision aid using a patient‐centered care framework to facilitate SDD after PCI 15, 18.…”

“…Patient‐centered decision making is defined as “the process of identifying clinically relevant, patient‐specific circumstances and behaviors to formulate a contextually appropriate care plan.”15 With patient‐centered decision making, higher‐risk and more complex patients could be considered for SDD provided that the risks are recognized upfront and successfully mitigated, which has never been reported. Although the SOCRATES (Study of Costs Realized After Percutaneous Coronary Intervention Employing Same Day Discharge) randomized trial, NCT02207270 was designed to apply a patient‐centered approach to SDD, it was prematurely terminated because of lack of enrollment 16.…”

Using Photovoice to Explore Patient Perceptions of Patient-Centered Care in the Veterans Affairs Health Care System

“…Cornerstones include engaging patients and families in clinical decisions, respecting patient preferences and needs, enhancing access to health services and improving communication between patients and health care staff [4][5]. Patient-centered care is associated with improved quality of care, patient satisfaction and health outcomes, as well as reductions in health care disparities and costs [6][7][8].…”