Patient centered care: A path to better health outcomes through engagement and activation

Abstract

Patient-centered care requires involvement of the patient and/or their caregiver at the center of the plan. Use of the International Classification of Functioning, Disability and Health (ICF) to identify facilitators and barriers unique to the patient/caregiver offers another opportunity to successfully engage the patient by incorporating the patient's bio-psychosocial support system into care delivery and for sustainability. The ICF is a taxonomy and classification system that prompts clinicians to identify environmental factors (facilitators and barriers) that will influence the patient's ability to perform during therapy session and to sustain the interventions and employ suggestions outside of formal therapy sessions. Using the facilitators to encourage sustainable change and removing barriers, patients are more likely to realize positive health behavior change and in turn demonstrate improved outcomes and health as a result of physical therapy intervention.

Effects of animal-assisted therapy on social behaviour in patients with acquired brain injury: a randomised controlled trial

“…In addition, emotional involvement of patients during therapy is essential to the rehabilitation process. Patients with acquired brain injury undergoing neurorehabilitation often suffer from a lack of motivation and initiative, which are core factors for therapeutic success and enhancing neuroplastic changes and functional outcomes 29 . Integration of animals into therapy might therefore be a promising approach to improve therapeutic effects on socioemotional functioning in patients with acquired brain injury during neurorehabilitation.…”

Promoting a sense of security in everyday life—A case study of patients and professionals moving towards co‐production in an atrial fibrillation “learning café”

“…Furthermore, the programme created conditions for interacting with—relating to—fellow patients, family members and knowledgeable health‐care staff. Competence and relatedness can facilitate coping and promote patient autonomy . Some participating patients reported actual or anticipated changes in their patterns of health‐care utilization, expecting that they would refrain from going to the emergency room so quickly, due to the Learning Café experience.…”

An exploration of physiotherapists' perceived benefits and barriers towards using psychosocial strategies in their practice

“…These characteristics indicate the application of self‐determination theory principles into practice (see Deci & Ryan, ). Allowing patients to be involved in decisions about their rehabilitation, contributes to patients having a greater sense of autonomy and control (Miller, ). Furthermore, when patients have knowledge and confidence to manage their health, and a practitioner who genuinely cares, they are more motivated and behaviour change is more successful (Miller, ).…”