No decision about me without me: concordance operationalised

Snowden, Austyn; Marland, Glenn

doi:10.1111/j.1365-2702.2012.04337.x

Cited by 17 publications

(13 citation statements)

References 18 publications

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“…'Adherence' refers to the degree to which the care plan is followed by the patient, whereas 'concordance' is related to the degree to which the patient and the health professionals have agreed the plan. 315 Throughout this document, the term 'adherence' has been used for consistency. The reader should understand that this the patient has about their care planm the more likely they are to adhere l Use of medical jargon should be avoided term as used here has a meaning analogous to 'concordance' or 'compliance' in the context of how the care path is followed.…”

Section: Factors That Affect Adherencementioning

confidence: 99%

Implementing TIMERS: the race against hard-to-heal wounds

et al. 2019

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Section: Factors That Affect Adherencementioning

confidence: 99%

Implementing TIMERS: the race against hard-to-heal wounds

et al. 2019

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“…In addition, providers recognized that it might be difficult to respect patient autonomy in a context of limited health literacy. Thus, there are indications that care quality can be improved through stronger focus on creating partnerships based on agreement, mutual respect for expectations and shared decision-making [ 33 – 35 ]. Our findings suggest a situation, described in a study in Uganda, in which shared decision-making may be a theoretical ideal rather than implemented practice [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Providers’ perceptions of communication with patients in primary healthcare in Rwanda

et al. 2018

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BackgroundDelivery of effective healthcare is contingent on the quality of communication between the patient and the healthcare provider. Little is known about primary healthcare providers’ perceptions of communication with patients in Rwanda.AimTo explore providers’ perceptions of patient-provider communication (PPC) and analyse the ways in which providers present and reflect on communication practice and problems.MethodsQualitative, in-depth, semi structured interviews with nine primary health care providers. An abductive analysis supplemented by the framework method was applied. A narrative approach allowed the emergence of archetypical narratives on PPC.ResultsProviders shared rich reflections on the importance of proper communication with patients and appeared committed to making their interaction work optimally. Still, providers had difficulty critically analysing limitations of their communication in practice. Reported communication issues included lack of communication training as well as time and workload issues. Two archetypes of narratives on PPC issues and practice emerged and are discussed.ConclusionWhile providers’ narratives put patients at the centre of care, there were indications that patient-provider communication training and practice need further development. In-depth exploration of highlighted issues and adapted strategies to tackle communication drawbacks are prerequisites to improvement. This study contributes to the advancement of knowledge related to communication between the patient and the provider in a resource-limited setting.

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“…Brukermedvirkning er sentralt i psykisk helsevern i vestlige deler av verden, og betyr at brukere av helsetjenester skal bli inkludert i beslutningsprosesser og ansvarliggjort i utformingen av eget tjenestetilbud (Petersen, Hounsgaard og Vinther Nielsen 2008, Snowden og Marland 2012. I Norge er brukermedvirkning nedfelt i Lov om pasient -og brukerrettigheter (1999).…”

Section: Innledningunclassified