scholarly journals Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience

2011 ◽  
Vol 23 (5) ◽  
pp. 510-515 ◽  
Author(s):  
K. Luxford ◽  
D. G. Safran ◽  
T. Delbanco
Keyword(s):  
Qualitative Study ◽  
Patient Experience ◽  
Patient Centered Care ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Centered Care ◽  
Facilitators And Barriers

scholarly journals Facilitators and barriers of patient-centered care at the organizational-level: a study of three district hospitals in the central region of Ghana

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jacqueline Nkrumah ◽  
Gordon Abekah-Nkrumah
Keyword(s):  
Patient Experience ◽  
Central Region ◽  
Patient Centered Care ◽  
Organizational Level ◽  
Exploratory Research ◽  
Patient Centered ◽  
Experience Of Care ◽  
District Hospitals ◽  
Centered Care ◽  
Facilitators And Barriers

Abstract Background Improving patient experience of care has gained enormous attention from policy makers and providers of healthcare services in Ghana. In spite of the supposed support for patient-centered care as the means for improving patient experience of care, scientific evidence point to poor patient experience of care in Ghana. Moreover, there seem to be little evidence on organizational-level factors that facilitate or hamper patient-centered care. In this study we assess organizational-level factors that facilitate or impede patient-centered care in three district hospitals in the Central Region of Ghana. Methods The study was exploratory research that used qualitative methods to collect data from seven senior managers and 3 junior managers in three district hospitals in the Central Region of Ghana. Data were collected with the aid of an interview guide and a checklist. Data were analyzed using content analysis. Results Two main Organizational-level factors were identified, namely, facilitators and barriers of patient-centered care. Facilitators to patient-centered care included: 1) Leadership commitment. 2) Leadership support. 3) Training and education for patient-centered care. Patient-centered care barriers identified in the hospitals were: 1) Leadership conceptualization of patient-centered care. 2) Lack of goals and sufficient activities for patient-centered care. 3) Communication related challenges.4) Ownership type. 5) Degree of centralization. 6) Financial constraints. Conclusion Organizational-level factors that promoted patient-centered care were fairly present in the hospitals. Yet, several other factors negatively affected patient-centered care in the hospitals. A suitable patient-focused intervention is recommended for implementation at the health system and institutional-levels to improve patient-centered care. Hospitals managers should develop suitable goals and activities to stimulate patient-centered care with the full participation of hospital employees and patients and families.

scholarly journals Innovation in patient-centered care: lessons from a qualitative study of innovative health care organizations in Washington State

2012 ◽  
Vol 13 (1) ◽  
Author(s):  
Peter Reed ◽  
Douglas A Conrad ◽  
Susan E Hernandez ◽  
Carolyn Watts ◽  
Miriam Marcus-Smith
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Organizations ◽  
Patient Centered Care ◽  
Washington State ◽  
Patient Centered ◽  
Centered Care

scholarly journals What Do Clinicians Who Deliver Maternity Services Think Patient-Centered Care Is and How Is That Different for Vulnerable Women? A Qualitative Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Ted Adams ◽  
Dana Sarnak ◽  
Joy Lewis ◽  
Jeff Convissar ◽  
Scott S. Young
Keyword(s):  
Qualitative Study ◽  
Primary Care Physicians ◽  
Health Management ◽  
Physician Assistants ◽  
Patient Centered Care ◽  
Fee For Service ◽  
Institute Of Medicine ◽  
Patient Centered ◽  
Maternity Services ◽  
Centered Care

Background. Patient-centered care is said to have a myriad of benefits; however, there is a lack of agreement on what exactly it consists of and how clinicians should deliver it for the benefit of their patients. In the context of maternity services and in particular for vulnerable women, we explored how clinicians describe patient-centered care and how the concept is understood in their practice. Methods. We undertook a qualitative study using interviews and a focus group, based on an interview guide developed from various patient surveys focused around the following questions: (i) How do clinicians describe patient-centered care? (ii) How does being patient-centered affect how care is delivered? (iii) Is this different for vulnerable populations? And if so, how? We sampled obstetricians and gynecologists, midwives, primary care physicians, and physician assistants from a health management organization and fee for service clinician providers from two states in the US covering insured and Medicaid populations. Results. Building a relationship between clinician and patient is central to what clinicians believe patient-centered care is. Providing individually appropriate care, engaging family members, transferring information from clinician to patient and from patient to clinician, and actively engaging with patients are also key concepts. However, vulnerable women did not benefit from patient-centered care without first having some of their nonmedical needs met by their clinician. Discussion. Most providers did not cite the core concepts of patient-centered care as defined by the Institute of Medicine and others.

Su1611 PURSUING PATIENT-CENTERED CARE FOR ADVANCED LIVER DISEASE: A QUALITATIVE STUDY OF CLINICIANS' PRACTICES AND PERSPECTIVES

2020 ◽  
Vol 158 (6) ◽  
pp. S-1357
Author(s):  
Jennifer Arney ◽  
Caroline P. Gray ◽  
Jack A. Clark ◽  
Aanand Naik ◽  
Donna L. Smith ◽  
...  
Keyword(s):  
Liver Disease ◽  
Qualitative Study ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Advanced Liver Disease ◽  
Centered Care

Patient-centered care for chronic pain in the emergency department: A qualitative study

2016 ◽  
Vol 24 ◽  
pp. 22-27 ◽  
Author(s):  
Jayalakshmi Jambunathan ◽  
Sharon Chappy ◽  
Jack (John) Siebers ◽  
Alishia Deda
Keyword(s):  
Emergency Department ◽  
Chronic Pain ◽  
Qualitative Study ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

Can opioid vigilance and patient-centered care coexist? A qualitative study of communicative tensions encountered by surgical trainees

2020 ◽  
Vol 16 (2) ◽  
pp. 91-101
Author(s):  
Elizabeth Troutman Adams, MA ◽  
Elisia L. Cohen, PhD ◽  
Andrew Bernard, MD ◽  
Whittney H. Darnell, PhD ◽  
Douglas R. Oyler, PharmD
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Medical Profession ◽  
Descriptive Analysis ◽  
Skills Training ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Opioid Prescribing ◽  
Surgical Trainees ◽  
Centered Care

Objective: The American health care system's adoption of the patient-centered care (PCC) model has transformed how medical providers communicate with patients about prescription pain medication. Concomitantly, the nation's opioid epidemic has necessitated a proactive response from the medical profession, requiring providers who frequently dispense opioids for acute pain to exercise vigilance in monitoring and limiting outpatient prescriptions. This qualitative study explores how surgical trainees balance PCC directives, including shared decision making, exchanging information with patients, and relationship maintenance, with opioid prescribing vigilance.Design: Investigators conducted interviews with 17 surgical residents and fellows (trainees) who routinely prescribe opioids at an academic medical center.Results: A qualitative descriptive analysis produced four codes, which were reduced to themes depicting problematic intersections between PCC imperatives and opioid vigilance during post-operative opioid-prescribing communication: (a) sharing the decision-making process contended with exerting medical authority, (b) reciprocating information contended with negotiating opioid prescribing terms with patients, (c) maintaining symbiotic relationships contended with prescribing ethics, and (d) achieving patient satisfaction contended with safeguarding opioid medications.Conclusion: Surgical training programs must supply trainees with post-surgical prescribing guidelines and communication skills training. Training should emphasize how PCC directives may work in tandem with--not in opposition to--opioid vigilance.

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