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.

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.

scholarly journals Patient-centered care during the last year of life: adaptation and validation of the German PACIC short form for bereaved persons as proxies (PACIC-S9-proxy)

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Vera Vennedey ◽  
Gloria Dust ◽  
Nicolas Schippel ◽  
Arim Shukri ◽  
Julia Strupp ◽  
...  
Keyword(s):  
Chronic Illness ◽  
Short Form ◽  
Treatment Plan ◽  
Patient Centered Care ◽  
Psychological Needs ◽  
Care Organization ◽  
Cronbach’S Alpha ◽  
Patient Centered ◽  
Cronbach's Alpha ◽  
Centered Care

Abstract Background Providing patient-centered care (PCC) during the last year of life (LYOL) can be challenging due to the complexity of the patients’ medical, social and psychological needs, especially in case of chronic illnesses. Assessing PCC can be helpful in identifying areas for improvements. Since not all patients can be surveyed, a questionnaire for proxy informants was developed in order to retrospectively assess patient-centeredness in care during the whole LYOL. This study aimed to evaluate the feasibility and validity of an adapted version of the German Patient Assessment of Chronic Illness Care (PACIC) for surveying bereaved persons in order to assess PCC during the decedents’ LYOL. Methods The German PACIC short form (11 items) was adapted to a nine-item version for surveying bereaved persons on the decedent’s LYOL (PACIC-S9-Proxy). Items were rated on a five-point Likert scale. The PACIC adaptation and validation was part of a cross-sectional survey in the region of Cologne. Participants were recruited through self-selection and active recruitment by practice partners. Sociodemographic characteristics and missing data were analyzed using descriptive statistics. An exploratory factor analysis was conducted in order to assess the structure of the PACIC-S9-Proxy. Internal consistency was estimated using Cronbach’s alpha. Results Of the 351 informants who participated in the survey, 230 (65.52%) considered their decedent to have suffered from chronic illness prior to death. 193 of these informants (83.91%) completed ≥5 items of the questionnaire and were included in the analysis. The least answered item was item (74.09%) was item 4 (encouragement to group & classes for coping). The most frequently answered item (96.89%) was item 2 (satisfaction with care organization). Informants rated the item” Given a copy of their treatment plan” highest (mean 3.96), whereas “encouragement to get to a specific group or class to cope with the condition” (mean 1.74) was rated lowest. Cronbach’s alpha was 0.84. A unidimensional structure of the questionnaire was found (Kaiser-Meyer-Olkin 0.86, Bartlett’s test for sphericity p < 0.001), with items’ factor loadings ranging from 0.46 to 0.82. Conclusions The nine-item questionnaire can be used as efficient tool for assessing PCC during the LYOL retrospectively and by proxies. Trial registration The study was registered in the German Clinical Trials Register (DRKS00011925) on 13 June 2017.

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.

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

Interpersonal Communication Processes Within the Provider-Patient Interaction

2018 ◽  
Author(s):  
Maria K. Venetis
Keyword(s):  
Information Needs ◽  
Treatment Decision ◽  
Theoretical Models ◽  
Patient Centered Care ◽  
Interpersonal Processes ◽  
Medical Providers ◽  
Patient Centered ◽  
Question Asking ◽  
Centered Care ◽  
Asking Questions

The degree to which patients are active and communicative in interactions with medical providers has changed in recent decades. The biomedical model, a model that minimizes patient agency in the medical interaction, is being replaced with a model of patient-centered care, an approach that prioritizes the individual patient in their healthcare and treatment decisions. Tenets of patient-centered care support that patients must be understood within their psychosocial and cultural preferences, should have the freedom to ask questions, and are encouraged to disclose health-relevant information. In short, this model promotes patient involvement in medical conversations and treatment decision-making. Research continues to examine approaches to effective patient-centered communication. Two interpersonal processes that promote patient-centered communication are patient question-asking and patient disclosure. Patient question-asking and disclosure serve to inform medical providers of patient preferences, hesitations, and information needs. Individuals, including patients, make decisions to pursue or disclose information. Patients are mindful that the act of asking questions or disclosing information, particularly stigmatized information such as sexual behavior or drug use, could make them vulnerable to perceived negative provider evaluations or responses. Thus, decisions to ask questions or share information, processes essential to the understanding of patient perspectives and concerns, may be challenging for patients. Various theoretical models explain how individuals consider if they will perform actions such as seeking or disclosing information. Research also explains the barriers that patients experience in asking questions or disclosing relevant health information to providers. A review of pertinent research offers suggestions to aid in facilitating improved patient-centered communication and care.

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