Barriers , Challenges and Way Forward for Implementation of Person Centered Care Model of Patient and Physician Consultation : A Survey of Patients' Perspective from Eastern Mediterranean Countries

Background: Person-centered care has long been identified as a key component of health systems and one of the six domains of quality. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR).Methods: A multicountry, cross-sectional study was conducted in 6 countries of EMR during July 2012 to September 2012. From each country, an expert Family Physician (FP) was identified and invited for the study. During the first phase, 190 FPs practicing for at least 6 months were recruited. In the second phase, the recruited FPs approached 300 patients aged > 18 years with 1 or more recurring problems. Data analysis was conducted using SPSS version 19.Results: Of a total of 360 patients, 53% were between 25-40 years of age and the majority 55.7% were females. Among physicians, 66.8% were females and 72.1% had undergone specialization in Family Medicine from EMR. About 36% of the patients, while 62.6% of the physicians, preferred a person-centered care model of care. Among physicians, field of specialization (AOR= 0.7; 95% C.I: 0.3-0.9) and regularity in continuing medical education sessions (AOR= 0.3; 95% C.I: 0.1-0.5) were significant factors for preferring a person-centered care model. Educational status (AOR= 3.0; 95% C.I: 1.1-7.9) was associated with a preference for person-centered care among patients.Conclusion: The results of the study highlight that a majority of physicians prefer person-centered care, while patients prefer a mix of both patient- and physician-centered care. Strategies should be developed that will help physicians and patients to embrace person-centered care practices.

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1486Preference for person-centered care model, perceptions of family physicians and patients of East Mediterranean Region

International Journal of Epidemiology ◽

10.1093/ije/dyab168.474 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

Kashmira Nanji ◽

Waris Qidwai ◽

Tawfik A M Khoja ◽

Salman Rawaf

Keyword(s):

Mediterranean Region ◽

Eastern Mediterranean ◽

Eastern Mediterranean Region ◽

Family Physicians ◽

Care Providers ◽

Multinomial Regression ◽

Care Model ◽

Cross Sectional ◽

Person Centered Care ◽

Centered Care

Abstract Background Person-centered care is one of the vital components of a health care system and signifies the concept of health promotion and disease prevention. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR). Methods A cross-sectional study was conducted in six countries of EMR during June 2019 to August 2019. In first phase, 190 family physicians (FPs) practicing for atleast six months were recruited. In the next phase, the recruited FPs then approached their patients aged more than 18 years. Multinomial regression analysis was conducted using SPSS version 20. Results Of a total of 300 patients, 25% were aged 40 years or above and the majority 56% were females. Among physicians, 62.8% were between 25 to 35 years and 88% had a postgraduate training in Family Medicine. Thirty six percent of patients and 62.6% of physicians, preferred a person-centered care model of care. Among physicians, field of specialization (ORadj= 0.7; 95% C.I: 0.3-0.9) and regularity in continuing medical education sessions (ORadj= 0.3; 95% C.I: 0.1-0.5) while, among patients, educational status was significantly associated with preference for person-centered care model. Conclusions The transition towards person centered care model has already started and most care providers endorse it. However, there is a need to apply this approach consistently, keeping the cultural aspects in mind. Key messages There is a need for intensive research on the development of integrated primary care models to improve access to person-centered care.

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Can SNF Patients be the CEO of their Health? Preliminary Findings of the Impact of a Person-Centered Care Model

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2015.12.075 ◽

2016 ◽

Vol 17 (3) ◽

pp. B24

Author(s):

Arif Nazir ◽

Arif Nazir

Keyword(s):

Care Model ◽

Person Centered Care ◽

Centered Care ◽

The Impact

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Cancer Survivorship Care: Person Centered Care in a Multidisciplinary Shared Care Model

International Journal of Integrated Care ◽

10.5334/ijic.3046 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 25

Author(s):

Jacqueline J Loonen ◽

Nicole MA Blijlevens ◽

Judith Prins ◽

Desiree JS Dona ◽

Jaap Den Hartogh ◽

...

Keyword(s):

Cancer Survivorship ◽

Shared Care ◽

Survivorship Care ◽

Care Model ◽

Person Centered Care ◽

Shared Care Model ◽

Centered Care

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Narratives in Clinical Practice: The essence of person centered care?

The International Journal of Person Centered Medicine ◽

10.5750/ijpcm.v3i2.403 ◽

2013 ◽

Vol 3 (2) ◽

pp. 123-126

Author(s):

James Appleyard

Keyword(s):

Clinical Practice ◽

Clinical Experience ◽

Clinical Skills ◽

Social Psychological ◽

The Core ◽

Physician Consultation ◽

Narrative Skills ◽

Person Centered Care ◽

Centered Care ◽

Health And Disease

From earliest times listening to a person’s story has been the essence of the patient-physician consultation. Evidence from the literature suggests that it is the core clinical skills of communication through questioning, delineating, interpreting, explaining and discerning meaning that provide a way of bringing together the very different perspectives of patients and health professionals.These narrative skills facilitate an awareness of both health and disease and take into consideration the biological, social psychological, spiritual and pathophysiological dimensions. In this context the science of objective measurements can be successfully integrated with the art of clinical experience and judgment.

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