Patient participation in the medical specialist encounter: Does physicians’ patient-centred communication matter?

Zandbelt, Linda C.; Smets, Ellen M. A.; Oort, Frans J.; Godfried, Mieke H.; Haes, Hanneke C. J. M. de

doi:10.1016/j.pec.2006.09.011

Cited by 86 publications

(79 citation statements)

References 46 publications

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“…Patient involvement is increasingly advocated as a key tenet of patient-centered care, where the patient's needs, preferences and values are actively sought and respected by healthcare practitioners in all clinical decisions [1][2][3][4][5]. In the case of acute illness such as myocardial infarction (MI), however, the role of patient involvement, and its possible impact on patient health, is not well understood.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Patient Perceptions of Involvement in Myocardial Infarction Care

Arnetz

2009

European Journal of Cardiovascular Nursing

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Section: Introductionmentioning

confidence: 99%

Gender Differences in Patient Perceptions of Involvement in Myocardial Infarction Care

Arnetz

2009

European Journal of Cardiovascular Nursing

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“…To improve decision-making, including tailoring to patients' needs, patients and health professionals should discuss the patient's preferred role in the process [31,32]. A patient-centered approach extends collaboration beyond individual decisions, focusing on enabling shared long-term management (if the relationship will go beyond a single episode).…”

Section: Discussionmentioning

confidence: 99%

“…For example, some patients lose trust when ambiguous information is given; critically ill patients tend to prefer more direct communication styles [35]. On the other hand, one recent study found that while facilitating behavior is strongly related to a patient's active participation, communicationinhibiting behavior did not result in reduced active patient participation; rather, inhibiting behaviors were even positively related to patient expression of concerns and cues [32]. Thus, providing a patient-centered exchange of information does not always require constant use of facilitating behavior.…”

Section: Discussionmentioning

confidence: 99%

Defining elements of patient-centered care for therapeutic relationships: a literature review of common themes

Clarke¹,

Ells²,

Thombs³

et al. 2017

EJPCH

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Rationale and aims: Patient-centered care is a recognized clinical method and ideal for patient -health professional relationships. Many definitions have influenced its evolution. For this research, our aim was: (1) to assess definitions and descriptions of patient-centered care to draw out elements of patient-centered care that are considered to be important markers of successful patient-centered care in the patient -health professional relationship and (2) to propose a set of elements that collectively reflect the diversity of 'patient-centered' definitions that describe the patient-professional relationship in this literature. A secondary aim was (3) to provide elements that could be used for development of a quality assessment tool. Methods: We conducted a critical interpretive review of patient-centered care and patient-centered communication literature, beginning with a critical synthesis that yielded 12 articles that introduced new theoretical and definitional work on patient-centered care and patient-centered communication. We used an inductive and iterative analysis process to identify and group common themes. We used operational language to describe these themes. Results: We identified 6 elements (each with 2 or more sub-elements) of the patient -health professional relationship that are considered important markers of successful patient-centered care (as found in this literature). The 6 elements are: (1) Engaging the Patient as a Whole Person, (2) Recognizing and Responding to Emotions, (3) Fostering a Therapeutic Alliance, (4) Promoting an Exchange of Information, (5) Sharing Decision-Making and (6) Enabling Continuity of Care, Self-Management and Patient Navigation. Conclusions: Comparable fundamental elements were common among most authors within this literature: we found that variation in theory was typically a matter of degree and language. This work contributes analyses towards greater theoretical consistency for conceptions of patient-centered care. It also provides avenues for future development of quality assurance benchmarks.

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“…clinician's attitudes and beliefs in sharing responsibility (Frank, 2013;Zandbelt et al, 2007), and personality and ability to respond to the patient's emotional needs (Birks & Watt, 2007;Kjeldman, Holmström, & Rosenqvist, 2006). acknowledged that clinicians with time constraints and workload pressures were more likely to apply a cliniciancentred model of rehabilitation compared to the clinicians who have more time to engage patient involvement.…”

Section: Patient-centred Carementioning

confidence: 99%

Evaluation of audiological rehabilitation services for adults with hearing impairment in Malaysia

Ali¹

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The effects of hearing impairment on adult patients and their families have been extensively reported (e.g. communication difficulties, emotional distress and social engagement restrictions, and decreased quality of life). Therefore, audiologists have a responsibility to help patients and their families manage activity limitations and participant restrictions that arise from hearing impairment in the context of the International Classification of Functioning, Disability and Health (ICF). This approach is very much in line with the principles of patient-centred care (PCC) that have been extensively promoted as best practice for the healthcare management of older adults. Despite reports of the benefits of PCC for adult patients in Western countries, including adherence to management plans and reduced recovery time, it is not known whether this approach is incorporated into audiological services for adult patients in Malaysia.The aims of this thesis were to investigate (i) the nature of audiological rehabilitation services for adults with hearing impairment in Malaysia, and (ii) the extent of patient-centredness exhibited by audiologists in Malaysia. To address these aims, a mixed methods approach was used. The quantitative measures were utilised to explore the current practice of audiologists in managing adult patients and to identify the preferences for PCC in audiological management from the perspectives of audiologists and adult patients, while the qualitative measures provided an in-depth view of the implementation of PCC in audiological management. The types of methods utilised were online and paper based surveys, individual semi-structured in-depth interviews, and video observation.Chapter 1 describes Malaysia briefly, with a focus on the field of audiology and the services offered. The ICF framework, which structures this thesis, and the PCC approach, which is the focus of this thesis, is presented in this chapter. Chapter 2 describes the audiological management for adults with hearing impairment and their significant others in the context of the ICF, as recommended by established audiology professional associations. Chapter 2 also includes background on PCC in more detail.Chapter 3 explored the nature of audiological services for adults with hearing impairment in Malaysia, with an emphasis on whether current services addressed patients' overall functioning described in the ICF. In general, the audiologists in Malaysia addressed the hearing impairment and its associated activity limitations and participation restrictions in their ii management of adult patients. However, gaps were identified with there being a strong emphasis on addressing impairment-level impacts. Inadequate infrastructure, resources and facilities in the workplace may have contributed to the gaps in service provision and influenced the current practice of audiological management for patients in Malaysia.Chapter 4 identified the preferences of adult patients for PCC and the level of PCC they received from audiologists. Although the...

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Patient participation in the medical specialist encounter: Does physicians’ patient-centred communication matter?

Cited by 86 publications

References 46 publications

Gender Differences in Patient Perceptions of Involvement in Myocardial Infarction Care

Gender Differences in Patient Perceptions of Involvement in Myocardial Infarction Care

Defining elements of patient-centered care for therapeutic relationships: a literature review of common themes

Evaluation of audiological rehabilitation services for adults with hearing impairment in Malaysia

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