scholarly journals Towards patient-centered health services in India—a scale to measure patient perceptions of quality

2006 ◽  
Vol 18 (6) ◽  
pp. 414-421 ◽  
Author(s):  
Krishna Dipankar Rao ◽  
David H. Peters ◽  
Karen Bandeen-Roche
Keyword(s):  
Health Services ◽  
Patient Perceptions ◽  
Patient Centered

A PLEA for an Initiative to Strengthen Family Medicine in Public Health Care Services of Developing Countries

2002 ◽  
Vol 32 (4) ◽  
pp. 799-815 ◽  
Author(s):  
Jean-Pierre Unger ◽  
Monique Van Dormael ◽  
Bart Criel ◽  
Jean Van der Vennet ◽  
Paul De Munck
Keyword(s):  
Public Health ◽  
Health Care ◽  
Developing Countries ◽  
Family Medicine ◽  
Health Services ◽  
Clinical Skills ◽  
Hospital Medicine ◽  
Care Practice ◽  
Care Organization ◽  
Patient Centered

An analysis of standards for the best practice of family medicine in Northern European countries provides a framework for identifying the difficulties and deficiencies in the health services of developing countries, and offers strategies and criteria for improving primary health care practice. Besides well-documented socioeconomic and political problems, poor quality of care is an important factor in the weaknesses of health services. In particular, a patient-centered perspective in primary care practice is barely reflected in the medical curriculum of developing countries. Instead, public sector general practitioners are required to concentrate on preventive programs that tackle a few well-defined diseases and that tend to be dominated by quantitative objectives, at the expense of individually tailored prevention and treatment. Reasons for this include training oriented to hospital medicine and aspects of GPs' social status and health care organization that have undermined motivation and restricted change. A range of strategies is urgently required, including training to improve both clinical skills and aspects of the doctor-patient interaction. More effective government health policies are also needed. Co-operation agencies can contribute by granting political protection to public health centers and working to orient the care delivered at this level toward patient-centered medicine.

scholarly journals A multilevel study of patient-centered care perceptions in mental health teams

2020 ◽  
Author(s):  
Francois Durand ◽  
Marie-Josée Fleury
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Interprofessional Collaboration ◽  
Patient Centered Care ◽  
Multidisciplinary Teams ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care

Abstract Background: The successful combination of interprofessional collaboration in multidisciplinary teams with patient-centered care is necessary when it comes to delivering complex mental health services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines correlates of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration and informational role self-efficacy in multidisciplinary mental health teams.Method: A cross-sectional multilevel survey design was used, based on self-administered bilingual validated questionnaires. Participants (N=314) were mental health professionals and managers working in public primary care or specialized mental health services, in inpatient or outpatient settings. Results: This study showed that belief in interprofessional collaboration’s relationship with patient-centered perceptions is increased in teams with high collaboration. Collaboration is also found as a mediator, representing a process by which team adaptive and proactive behaviors are transformed into positive patient-centered perceptions.Conclusions: Our results were in line with recent studies on team processes establishing that collaboration is a key component in multilevel examinations of predictors of patient-centered care. In terms of practice, our study showed that multidisciplinary teams should know that working hard on collaboration is an answer to the complexity of patient-centered care. Collaboration is related to the teams’ ability to respond to its challenges. It is also related to individuals’ beliefs central to the delivery of interprofessional care.

scholarly journals Satisfaction of Nigerian patients with health services: a protocol for a systematic review

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Maureen O. Akunne ◽  
Mathew J. Okonta ◽  
Chinwe V. Ukwe ◽  
Thomas L. Heise ◽  
Obinna I. Ekwunife
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Health Services ◽  
Standard Method ◽  
Gold Standard ◽  
Reference Method ◽  
Standard Of Care ◽  
Patient Centered ◽  
Screening Process ◽  
Gold Standard Method

Abstract Background Patient-based assessment of health services is becoming popular in measuring the standard of care. Both quantitative and qualitative methods are available. Patient satisfaction surveys are commonly used to record the experiences of patients in hospitals, whereas qualitative designs (e.g., interviews and focus group discussions) are used less frequently. To date, there has been no systematic review published devoted to patient satisfaction with health services in Nigeria. We aim to (1) systematically analyze relevant quantitative studies to pinpoint excellent procedures in measuring patient satisfaction with health services, (2) to investigate if a reference method (gold standard method) exists, and (3) to identify relevant topics which are recognized by patients as important for the delivery of a high-quality health service in Nigeria. Methods Searches of eight electronic journal databases, including MEDLINE, EMBASE, CINAHL, PsycINFO, AJOL, CDSR, DARE, and HTA will be conducted to identify studies assessing patient satisfaction with health services in Nigeria. The searches will be supported by manual searches in reference lists of relevant primary studies and systematic reviews. The review will be limited to studies published since 2007. After a stepwise screening process by two reviewers, data from included studies will be extracted and reviewed. The COSMIN RoB checklist will be used to critically appraise included studies. We will carry out an extensive data synthesis to answer the review questions. Discussion The intended systematic review will provide information on how the satisfaction of patients with health services has earlier been described and assessed in Nigerian studies. It will establish if a gold standard method exists and synthesize information on topics which might be of special interest to patients. Review findings will enrich the debate on patient-centered care and overall performance of health quality standards in Nigeria. Systematic review registration PROSPERO CRD42018108140

Patient Perceptions of Patient-Centered Medical Home Characteristics and Satisfaction with Free Clinic Services

2016 ◽  
Vol 19 (5) ◽  
pp. 324-331 ◽  
Author(s):  
Elena A. Platonova ◽  
William B. Saunders ◽  
Jan Warren-Findlow ◽  
Jenny A. Hutchison
Keyword(s):  
Medical Home ◽  
Patient Perceptions ◽  
Patient Centered Medical Home ◽  
Free Clinic ◽  
Patient Centered

scholarly journals A Patient-Centered Framework for Evaluating Digital Maturity of Health Services: A Systematic Review

2016 ◽  
Vol 18 (4) ◽  
pp. e75 ◽  
Author(s):  
Kelsey Flott ◽  
Ryan Callahan ◽  
Ara Darzi ◽  
Erik Mayer
Keyword(s):  
Systematic Review ◽  
Health Services ◽  
Patient Centered

scholarly journals Personality Dynamics Behind Bars: Improving Mental Health Services in a Correctional Facility

2020 ◽  
Author(s):  
Adam P. Natoli
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Behavioral Interventions ◽  
Correctional Facility ◽  
Treatment Team ◽  
Patient Centered ◽  
Patient’S Experience ◽  
Correctional Settings ◽  
Building Rapport

Mental health services provided in correctional facilities require improvement (Fazel et al., 2016). One strategy for improving care in these facilities may be to give consideration to a patient’s personality dynamics when planning interventions or interacting with the patient. Understanding a patient in the context of their personality dynamics can give members of a treatment team an increased ability to predict a patient’s experience of, and response to, different interventions, situations, and stimuli. This brief report identifies three treatment issues relevant to correctional settings and then uses clinical material from three cases to illustrate how conceptualizing each patient’s personality dynamics helped address these issues by facilitating more considerate and patient-centered interactions between staff and patient, assisting in the planning of behavioral interventions that are better suited for a patient’s personality, and by guiding approaches to building rapport and encouraging a patient’s engagement in their own treatment. These brief cases demonstrate the diverse utility of attending to each patient’s personality dynamics in correctional settings.

scholarly journals The Effects of Oncologist Implicit Racial Bias in Racially Discordant Oncology Interactions

2016 ◽  
Vol 34 (24) ◽  
pp. 2874-2880 ◽  
Author(s):  
Louis A. Penner ◽  
John F. Dovidio ◽  
Richard Gonzalez ◽  
Terrance L. Albrecht ◽  
Robert Chapman ◽  
...  
Keyword(s):  
Racial Bias ◽  
Implicit Bias ◽  
Patient Perceptions ◽  
Patient Treatment ◽  
Health Providers ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Implicit Racial Bias ◽  
Treatment Disparities ◽  
Bias Measure

Purpose Health providers’ implicit racial bias negatively affects communication and patient reactions to many medical interactions. However, its effects on racially discordant oncology interactions are largely unknown. Thus, we examined whether oncologist implicit racial bias has similar effects in oncology interactions. We further investigated whether oncologist implicit bias negatively affects patients’ perceptions of recommended treatments (i.e., degree of confidence, expected difficulty). We predicted oncologist implicit bias would negatively affect communication, patient reactions to interactions, and, indirectly, patient perceptions of recommended treatments. Methods Participants were 18 non-black medical oncologists and 112 black patients. Oncologists completed an implicit racial bias measure several weeks before video-recorded treatment discussions with new patients. Observers rated oncologist communication and recorded interaction length of time and amount of time oncologists and patients spoke. Following interactions, patients answered questions about oncologists’ patient-centeredness and difficulty remembering contents of the interaction, distress, trust, and treatment perceptions. Results As predicted, oncologists higher in implicit racial bias had shorter interactions, and patients and observers rated these oncologists’ communication as less patient-centered and supportive. Higher implicit bias also was associated with more patient difficulty remembering contents of the interaction. In addition, oncologist implicit bias indirectly predicted less patient confidence in recommended treatments, and greater perceived difficulty completing them, through its impact on oncologists’ communication (as rated by both patients and observers). Conclusion Oncologist implicit racial bias is negatively associated with oncologist communication, patients’ reactions to racially discordant oncology interactions, and patient perceptions of recommended treatments. These perceptions could subsequently directly affect patient-treatment decisions. Thus, implicit racial bias is a likely source of racial treatment disparities and must be addressed in oncology training and practice.

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