Patient-Centered Care for Obesity: How Healthcare Providers Can Treat Obesity While Actively Addressing Weight Stigma and Eating Disorder Risk

2022 ◽  
Author(s):  
Michelle I. Cardel ◽  
Faith A. Newsome ◽  
Rebecca L. Pearl ◽  
Kathryn M. Ross ◽  
Jackson R. Dillard ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Healthcare Providers ◽  
Patient Centered Care ◽  
Weight Stigma ◽  
Patient Centered ◽  
Eating Disorder Risk ◽  
Centered Care ◽  
Disorder Risk

Thoughts About Meanings of Compliance, Adherence, and Concordance

2020 ◽  
Vol 33 (4) ◽  
pp. 358-360
Author(s):  
Jacqueline Fawcett
Keyword(s):  
Conceptual Model ◽  
Patient Autonomy ◽  
Healthcare Providers ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Or Groups ◽  
Health Related Behaviors ◽  
Centered Care ◽  
Health Related

The purpose of this essay is to explore the meanings of the widely used terms compliance and adherence and the less widely used term concordance and to raise questions about the appropriateness of these terms when used to describe individuals’ or groups’ health-related behaviors. Discussion focuses on how recognition of how the meanings of these terms has uncovered the failure to honor nursing’s emphasis on person/patient-centered care due to power imbalances between healthcare providers and patents and the subsequent lack of patient autonomy. Consideration of these problems with existing terms could facilitate identification of a potentially more appropriate term based on the language of a nursing conceptual model and/or theory.

Patient-centered communication: an extension of the HCAHPS survey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shahidul Islam ◽  
Nazlida Muhamad
Keyword(s):  
Service Quality ◽  
Gap Analysis ◽  
Healthcare Providers ◽  
Measurement Model ◽  
Patient Centered Care ◽  
Emerging Economy ◽  
Patient Centered ◽  
Affective Communication ◽  
Content Type ◽  
Centered Care

PurposeThe Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) has been recognized as a “gold standard” set of “practical standardized measures” for assessing hospital service quality. Beginning with the HCAHPS, the purpose of this paper is to extend efforts to assess patient-centered communication (PCC) and the quality of healthcare and presents a scale for measuring patient perceptions and expectations of service quality in an emerging economy context.Design/methodology/approachA self-administered survey of patients in private hospitals (N = 171) was conducted to test the proposed framework. Exploratory and confirmatory factor analyses were used to establish the measurement model. Multiple regression analysis was used to explain the scale's predictive ability. ANOVA was used to analyze service quality gaps and rank patients' priorities.FindingsFive components of PCC are identified. Among these, nurse affective communication has a significant positive effect on patient satisfaction. The gap analysis shows that patients have high expectations for doctors' affective communication, while they perceive a low level of service performance in the realm of nurse affective communication. The study highlights a new means of measuring “reliability” in healthcare. Important findings on patients' priorities are evaluated and discussed.Practical implicationsHealthcare organizations and practitioners can improve patient-centered care by stressing the dimensions of PCC, including clinicians' affective and instrumental communication.Originality/valueThe study expands the understanding of HCAHPS instruments in an emerging economy context and opens avenues for more widespread use of the measures. The research contributes to the literature on patient-centered care and healthcare service quality by proposing a scale for managing specific practices and interactions in healthcare.

State of IS Integration in the Context of Patient-Centered Care

2011 ◽  
Vol 6 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Ali Reza Montazemi ◽  
Jeff J. Pittaway ◽  
Karim Keshavjee
Keyword(s):  
Information Exchange ◽  
Information Needs ◽  
Treatment Plan ◽  
Healthcare Providers ◽  
Patient Centered Care ◽  
Personal Contact ◽  
Patient Centered ◽  
Centered Care ◽  
Knowledge Asymmetry ◽  
Is Integration

For more than a decade, healthcare reform has emphasized coordinated “patient-centered care”. To that end, policymakers have invested in integration of healthcare providers’ information flows. Research has studied healthcare providers’ information needs but overlooked communicative exchanges among participants in coordinating treatment plan decisions. Consequently, although medical literature asserts that patients should depend on information exchange with healthcare providers to enable participation in treatment plan decisions, the assertion has not been tested. In this paper, the authors conduct an empirical study to elucidate the structure of actors’ communications in support of their information dependencies. The findings illustrate that although patients are well connected through personal contact with healthcare providers, patients are disenfranchised from integrated healthcare information systems (IS) and the potential of IS to support patients’ participation in coordinated “patient-centered care” decisions. Furthermore, knowledge asymmetry between patients and healthcare providers should be considered in the selection and design of healthcare IS.

State of IS Integration in the Context of Patient-Centered Care

2013 ◽  
pp. 127-144
Author(s):  
Ali Reza Montazemi ◽  
Jeff J. Pittaway ◽  
Karim Keshavjee
Keyword(s):  
Information Exchange ◽  
Information Needs ◽  
Treatment Plan ◽  
Healthcare Providers ◽  
Patient Centered Care ◽  
Personal Contact ◽  
Patient Centered ◽  
Centered Care ◽  
Knowledge Asymmetry ◽  
Is Integration

For more than a decade, healthcare reform has emphasized coordinated “patient-centered care”. To that end, policymakers have invested in integration of healthcare providers’ information flows. Research has studied healthcare providers’ information needs but overlooked communicative exchanges among participants in coordinating treatment plan decisions. Consequently, although medical literature asserts that patients should depend on information exchange with healthcare providers to enable participation in treatment plan decisions, the assertion has not been tested. In this paper, the authors conduct an empirical study to elucidate the structure of actors’ communications in support of their information dependencies. The findings illustrate that although patients are well connected through personal contact with healthcare providers, patients are disenfranchised from integrated healthcare information systems (IS) and the potential of IS to support patients’ participation in coordinated “patient-centered care” decisions. Furthermore, knowledge asymmetry between patients and healthcare providers should be considered in the selection and design of healthcare IS.

Patient-Centered Care: Lifestyle Modifications Among Adult Participants With Dyslipidemia

2019 ◽  
Vol 12 (1) ◽  
pp. 31-40
Author(s):  
Gulenia E. Rikabi ◽  
Lachel J. Story ◽  
Kamal Rikabi
Keyword(s):  
Heart Disease ◽  
Healthcare Providers ◽  
Plasma Lipid ◽  
Patient Centered Care ◽  
Health Clinic ◽  
Healthy Living ◽  
Lifestyle Modifications ◽  
Patient Centered ◽  
Clinical Interventions ◽  
Centered Care

BackgroundDyslipidemia, a risk factor for coronary heart disease (CHD), is a burden due to morbidity, mortality, and CHD-related costs. Patient-centered clinical interventions improve adherence to lifestyle modifications among adults with dyslipidemia.ObjectiveThe study's objectives were to (a) promote participants' safety through increased knowledge on the risks and prevention of CHD, (b) help participants identify their own barriers to lifestyle modifications, and (c) develop strategies with participants on individualized plans to adhere to healthy living.MethodsSeventeen participants with dyslipidemia enrolled in a quality improvement over 6 weeks. Participants were from one employee health clinic in Mississippi. Measures are Heart Disease Fact Questionnaire (HDFQ), Framingham Tool, pre- and poststudy lipid panels, and physiologic measurements. Interventions include motivational technique-led interviews as a tool for behavioral change.ResultsPre- and post-HDFQ responses indicated an 18% increase in knowledge attainment because of the patient-centered care interventions. Postinterventions, mean plasma lipid panels were 29% lower, weight loss ranged from 0 to 10.1 pounds, and body mass indexes were 0.4 to 1.2 less. Blood pressures (BPs) preintervention ranged from 120/70 to 159/89. Postinterventions BP ranged from 107/82 to 146/70.ConclusionsPatient-centered clinical interventions improve management of dyslipidemia through increased knowledge on risks and prevention of CHD and also through finding own barriers to healthy living.ImplicationsHealthcare providers can make a difference in people's lives through exploring the unhealthy behaviors and discovering ways for better health outcomes.

Development of a Measure to Assess Healthcare Providers’ Implementation of Patient-Centered Care

2014 ◽  
Vol 11 (4) ◽  
pp. 248-257 ◽  
Author(s):  
Souraya Sidani ◽  
Laura Collins ◽  
Patti Harbman ◽  
Kathleen MacMillan ◽  
Scott Reeves ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

scholarly journals The rhetoric and reality of integrated patient-centered care for healthcare providers: An ethnographic exploration of epilepsy care in Ireland

2019 ◽  
Vol 94 ◽  
pp. 87-92 ◽  
Author(s):  
John-Paul Byrne ◽  
Robert Power ◽  
Rachel Kiersey ◽  
Jarlath Varley ◽  
Colin P. Doherty ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

scholarly journals A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Abukari Kwame ◽  
Pammla M. Petrucka
Keyword(s):  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Patient Health ◽  
Optimal Health ◽  
Centered Care ◽  
Institutional Communication ◽  
Clinical Interactions

AbstractProviding healthcare services that respect and meet patients’ and caregivers’ needs are essential in promoting positive care outcomes and perceptions of quality of care, thereby fulfilling a significant aspect of patient-centered care requirement. Effective communication between patients and healthcare providers is crucial for the provision of patient care and recovery. Hence, patient-centered communication is fundamental to ensuring optimal health outcomes, reflecting long-held nursing values that care must be individualized and responsive to patient health concerns, beliefs, and contextual variables. Achieving patient-centered care and communication in nurse-patient clinical interactions is complex as there are always institutional, communication, environmental, and personal/behavioural related barriers. To promote patient-centered care, healthcare professionals must identify these barriers and facitators of both patient-centered care and communication, given their interconnections in clinical interactions. A person-centered care and communication continuum (PC4 Model) is thus proposed to orient healthcare professionals to care practices, discourse contexts, and communication contents and forms that can enhance or impede the acheivement of patient-centered care in clinical practice.

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