Patient-centredness in chronic illness: what is it and does it matter?

Michie, Susan; Miles, Jane; Weinman, John

doi:10.1016/s0738-3991(02)00194-5

Cited by 399 publications

(323 citation statements)

References 32 publications

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“…The PCE approach acknowledges that different patients with asthma may need specific information related to certain topics at different times in their life [42]. The change in prioritisation of topics between phase 1 and phase 2 further supports this premise.…”

Section: Discussionmentioning

confidence: 86%

Standardversuspatient-centred asthma education in the emergency department: a randomised study

Smith

Mitchell²,

Bowler³

2008

Eur Respir J

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High re-attendance rates are common after asthma emergency department (ED) care. Inadequate patient education has been cited as a potential cause of re-attendance and the optimal format of education is uncertain. The present study aimed to compare the effectiveness of patient-centred education (PCE) and standard asthma patient education on ED re-attendance.A randomised controlled trial was conducted at two inner-city Australian teaching hospitals' EDs, where patients received either standard patient education (SPE) or PCE. Both groups received a six-topic curriculum. However, PCE patients reordered the topics according to their own priority and thus controlled the order of education.In total, 146 adult patients presenting to EDs with acute asthma were enrolled. After 4 months, ED re-attendance decreased from 22 to 12% in the PCE group and remained unchanged in the SPE group (between group odds ratio 0.4, 95% confidence interval (0.2-1.1)). In 78 patients discharged after ED care, the PCE group had fewer re-attendances after 4 and 12 months (0.3 (0.1-0.9) and 0.3 (0.1-0.8), respectively ). PCE patients with no general practitioner care in the preceding 7 days had fewer re-attendances after 4 and 12 months (0.1 (0.0-0.7) and 0.2 (0.0-0.6), respectively). A trend of better asthma control was evident, with a reduction in activity limitation.In conclusion, patient-centred education offers promise as a brief education process in the emergency department. However, a large multicentre trial of patient-centred education is required.

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Section: Discussionmentioning

confidence: 86%

Standardversuspatient-centred asthma education in the emergency department: a randomised study

Smith

Mitchell²,

Bowler³

2008

Eur Respir J

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“…The benefits are in quality of life as well as disease control (22)(23)(24)(25). The potential negative sides of telemedicine are with regard to perceptions of potential disruption of services and interventions's due cost savings, concern about privacy and dislike of technology.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine is Cost Effective Compared with Standard Care in Type 2 Diabetes Mellitus - A Randomized Trial with an Economic Analysis in an Outpatient Clinic

et al. 2017

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“…The approach taken to providing patients with information about their illness and treatment has changed dramatically since the publication of Cancer ward. The primary goal in health care today is 'patient-centred care' in which patients are treated with respect, given honest information and invited to take part in all decisions about their treatment and care (Michie, Miles, & Weinman, 2003)-although cancer patients' desire to make decisions about their treatments must not be taken for granted and doctors need to determine the extent to which each patient would like to be involved (Kvale & Bondevik, 2008).…”

Section: Discussionmentioning

confidence: 99%

Cancer Ward

Kaptein

Lyons

2010

J Health Psychol

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The novel Cancer ward (Solzhenitsyn, 1968) was used to examine the perceptions that cancer patients hold regarding their illness and its treatment, and how these perceptions relate to theoretical models in health psychology. Excerpts were identified, categorized and interpreted using the Self-Regulation Model of illness. The model's dimensions of illness perceptions were apparent throughout Cancer ward. Patients held specific representations about cancer, many of which are similar to those found today. Analysing a novel on cancer provides insight into patients' embodied experiences and perceptions of cancer and treatment. Incorporating illness perceptions into medical care improves the quality of life of patients.

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Patient-centredness in chronic illness: what is it and does it matter?

Cited by 399 publications

References 32 publications

Standardversuspatient-centred asthma education in the emergency department: a randomised study

Standardversuspatient-centred asthma education in the emergency department: a randomised study

Telemedicine is Cost Effective Compared with Standard Care in Type 2 Diabetes Mellitus - A Randomized Trial with an Economic Analysis in an Outpatient Clinic

Cancer Ward

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