The Neglected Constructs of Health Literacy, Shared Decision-Making, and Patient-Centered Care in Behavioral Health: An Integrated Model

2018 ◽  
pp. 147-174
Author(s):  
Brendan Willis ◽  
William T. O’Donohue
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Behavioral Health ◽  
Shared Decision Making ◽  
Patient Centered Care ◽  
Integrated Model ◽  
Shared Decision ◽  
Patient Centered ◽  
Centered Care

scholarly journals Beyond Reading and Understanding: Health Literacy as the Capacity to Act

2018 ◽  
Vol 15 (8) ◽  
pp. 1676 ◽  
Author(s):  
Jany Rademakers ◽  
Monique Heijmans
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Shared Decision Making ◽  
Patient Centered Care ◽  
Self Management ◽  
Shared Decision ◽  
Patient Centered ◽  
Capacity To Act ◽  
Centered Care ◽  
The Impact

Many health literacy interventions have a limited focus on functional/cognitive skills. In psychosocial models, the capacity to act however is seen as a major driver of behavioural change. This aspect is often lacking in health literacy concepts. In this study, we examine the impact of both aspects of health literacy (functional/cognitive and capacity to act) on specific healthcare outcomes (healthcare use, experiences with patient-centered care, shared-decision making, and self-management). In a sample of a national panel of people with a chronic disease (NPCD), questions about health literacy, patient activation, and outcomes were asked. The results indicated that 39.9% had limited HL levels and 36.9% had a low activation score. Combined, 22.7% of the sample scored low on both aspects, whereas 45.8% had adequate levels on both. Patients who score low on both use more healthcare and have less positive experiences with patient-centered care, shared decision making, and self-management. Patients who have adequate competency levels in both respects have the best outcomes. Both cognitive and non-cognitive aspects of health literacy are important, and they enhance each other. The capacity to act is especially important for the extent to which people feel able to self-manage.

Shared Decision Making — The Pinnacle of Patient-Centered Care

2012 ◽  
Vol 366 (9) ◽  
pp. 780-781 ◽  
Author(s):  
Michael J. Barry ◽  
Susan Edgman-Levitan
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Patient Centered Care ◽  
Shared Decision ◽  
Patient Centered ◽  
Centered Care

scholarly journals Shared Decision Making and Patient-Centered Care in Israel, Jordan, and the United States: Exploratory and Comparative Survey Study of Physician Perceptions (Preprint)

2020 ◽  
Author(s):  
Yaara Zisman-Ilani ◽  
Rana Obeidat ◽  
Lauren Fang ◽  
Sarah Hsieh ◽  
Zackary Berger
Keyword(s):  
United States ◽  
Decision Making ◽  
Shared Decision Making ◽  
The United States ◽  
Patient Centered Care ◽  
Survey Study ◽  
Shared Decision ◽  
Patient Centered ◽  
Centered Care ◽  
Comparative Survey

BACKGROUND Shared decision making (SDM) is a health communication model that evolved in Europe and North America and largely reflects the values and medical practices dominant in these areas. OBJECTIVE This study aims to understand the beliefs, perceptions, and practices related to SDM and patient-centered care (PCC) of physicians in Israel, Jordan, and the United States. METHODS A hypothesis-generating comparative survey study was administered to physicians from Israel, Jordan, and the United States. RESULTS A total of 36 surveys were collected via snowball sampling (Jordan: n=15; United States: n=12; Israel: n=9). SDM was perceived as a way to inform patients and allow them to participate in their care. Barriers to implementing SDM varied based on place of origin; physicians in the United States mentioned limited time, physicians in Jordan reported that a lack of patient education limits SDM practices, and physicians in Israel reported lack of communication training. Most US physicians defined PCC as a practice for prioritizing patient preferences, whereas both Jordanian and Israeli physicians defined PCC as a holistic approach to care and to prioritizing patient needs. Barriers to implementing PCC, as seen by US physicians, were mostly centered on limited appointment time and insurance coverage. In Jordan and Israel, staff shortage and a lack of resources in the system were seen as major barriers to PCC implementation. CONCLUSIONS The study adds to the limited, yet important, literature on SDM and PCC in areas of the world outside the United States, Canada, Australia, and Western Europe. The study suggests that perceptions of PCC might widely differ among these regions, whereas concepts of SDM might be shared. Future work should clarify these differences.

scholarly journals Patient-Centered Care for Patients with Cardiometabolic Diseases: An Integrative Review

2021 ◽  
Vol 11 (12) ◽  
pp. 1289
Author(s):  
Maria do Céu Marques ◽  
Rute Pires ◽  
Miguel Perdigão ◽  
Luis Sousa ◽  
César Fonseca ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Patient Centered Care ◽  
Therapeutic Management ◽  
Care Planning ◽  
Shared Decision ◽  
Patient Centered ◽  
Quality Health Care ◽  
Cardiometabolic Diseases ◽  
Centered Care

Patient-centered care is essential in high-quality health care, as it leads to beneficial outcomes for patients. The objective of this review is to systematize indicators for the care of patients with cardiometabolic diseases based on patient-centered care, extending from the stages of diagnostic evaluation and care planning to intervention. An integrative literature review was conducted by searching seven scientific databases, and a narrative analysis was performed. A total of 15 articles were included, and indicators related to diagnosis and care planning/intervention were extracted. In the planning of care centered on the person with cardiometabolic diseases, the individuality, dynamics of the processes, flexibility and the participation of all stakeholders should be taken into account. The needs of the person must be addressed through the identification of problems; establishment of individual goals; shared decision making; information and education; systematic feedback; case management; meeting the patient’s preferences and satisfaction with care; engagement of the family; and therapeutic management. The indicators for intervention planning extracted were behavioral interventions, therapeutic management programs, lifestyle promotion, shared decision making, education patient and information, interventions with the use of technology, promotion of self-management, program using technology, therapeutic relationship, therapeutic adherence programs and specialized intervention.

The long way of implementing patient-centered care and shared decision making in Germany

2017 ◽  
Vol 123-124 ◽  
pp. 46-51 ◽  
Author(s):  
Martin Härter ◽  
Jörg Dirmaier ◽  
Isabelle Scholl ◽  
Norbert Donner-Banzhoff ◽  
Marie-Luise Dierks ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Patient Centered Care ◽  
Shared Decision ◽  
Patient Centered ◽  
Centered Care
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