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Patient centeredness

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https://www.readbyqxmd.com/read/28911338/organisational-culture-and-trust-as-influences-over-the-implementation-of-equity-oriented-policy-in-two-south-african-case-study-hospitals
#1
Ermin Erasmus, Lucy Gilson, Veloshnee Govender, Moremi Nkosi
BACKGROUND: This paper uses the concepts of organisational culture and organisational trust to explore the implementation of equity-oriented policies - the Uniform Patient Fee Schedule (UPFS) and Patients' Rights Charter (PRC) - in two South African district hospitals. It contributes to the small literatures on organisational culture and trust in low- and middle-income country health systems, and broader work on health systems' people-centeredness and "software". METHODS: The research entailed semi-structured interviews (Hospital A n = 115, Hospital B n = 80) with provincial, regional, district and hospital managers, as well as clinical and non-clinical hospital staff, hospital board members, and patients; observations of policy implementation, organisational functioning, staff interactions and patient-provider interactions; and structured surveys operationalising the Competing Values Framework for measuring organisational culture (Hospital A n = 155, Hospital B n = 77) and Organisational Trust Inventory (Hospital A n = 185, Hospital B n = 92) for assessing staff-manager trust...
September 15, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28860724/-patients-understanding-is-the-problem-physicians-views-of-nonadherence-among-arabs-with-type-2-diabetes
#2
Mohammad Waheedi, Fatima B Jeragh-Alhaddad, Abdelmoneim Ismail Awad, Hannes Enlund
PURPOSE: Nonadherence to diabetes medication is a significant barrier toward achieving positive treatment outcomes. There is an abundance of research looking at the problem from the patient perspective, but less from the provider perspective. The Middle East region has one of the highest prevalences of type 2 diabetes in the world, with special cultural characteristics, which require research attention. The aim of this study was to explore the views of primary-care physicians on medication nonadherence among type 2 diabetes patients...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28844622/from-transitions-to-transformation-a-study-of-pharmacists-developing-patient-centered-communication-skills
#3
Karen Luetsch, Judith Burrows
BACKGROUND: Pharmacists' communication with patients often focuses on technical aspects of advice giving, while limiting socio-emotional content. To develop pharmacists' patient-centered communication a learning and practice module integrating motivational interviewing (MI) was designed for an online postgraduate program, and its impact on their self-described practice evaluated. OBJECTIVES: To investigate whether training in patient-centered communication changes pharmacists' perceptions of communicating with patients, and how any changes in their communication style influenced interactions and relationships with patients...
August 12, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28843113/adverse-events-in-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-on-contributing-and-protective-factors
#4
Gala True, Rosemary Frasso, Sara W Cullen, Richard C Hermann, Steven C Marcus
OBJECTIVES: This study sought to identify risk factors and protective factors in hospital-based mental health settings in the Veterans Health Administration (VHA), with the goal of informing interventions to improve care of persons with serious mental illness. METHODS: Twenty key informants from a stratified sample of 7 VHA inpatient psychiatric units were interviewed to gain their insights on causes of patient safety events and the factors that constrain or facilitate patient safety efforts...
September 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28842989/consulting-dr-google-quality-of-online-resources-about-tympanostomy-tube-placement
#5
Vandra C Harris, Anne R Links, Paul Hong, Jonathan Walsh, Desi P Schoo, David E Tunkel, Charles M Stewart, Emily F Boss
OBJECTIVE: Tympanostomy tube (TT) placement is common in children; however, family-centeredness and utility of online information used for decision making and understanding is unknown. We evaluate the quality of leading Internet resources describing TT placement. STUDY DESIGN: Cross-sectional descriptive design. METHODS: We performed a Google (Menlo Park, CA) search for terms related to TTs. We defined quality using scaled readability measures (Flesch Reading Ease and Flesch-Kincaid Grade-Level), understandability and actionability (Patient Education Materials Assessment Tool), shared decision-making centrality (Center for Medicare and Medicaid Services informed consent guidelines), and clinical practice guideline (CPG) compatibility...
August 26, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28830861/addressing-the-social-needs-of-hypertensive-patients-the-role-of-patient-provider-communication-as-a-predictor-of-medication-adherence
#6
Antoinette Schoenthaler, George J Knafl, Kevin Fiscella, Gbenga Ogedegbe
BACKGROUND: Poor medication adherence is a pervasive problem in patients with hypertension. Despite research documenting an association between patient-provider communication and medication adherence, there are no empirical data on how the informational and relational aspects of communication affect patient's actual medication-taking behaviors. The aim of this study was to evaluate the impact of patient-provider communication on medication adherence among a sample of primary care providers and their black and white hypertensive patients...
September 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28820617/patient-centeredness-in-physiotherapy-what-does-it-entail-a-systematic-review-of-qualitative-studies
#7
Amarins J Wijma, Anouck N Bletterman, Jacqui R Clark, Sigrid C J M Vervoort, Anneke Beetsma, Doeke Keizer, Jo Nijs, C Paul Van Wilgen
PURPOSE: The literature review is aimed at examining and summarizing themes related to patient-centeredness identified in qualitative research from the perspectives of patients and physiotherapists. Following the review, a secondary aim was to synthesize the themes to construct a proposed conceptual framework for utilization within physiotherapy. METHODS: A systematic search of qualitative studies was conducted including all articles up to 2015 September. Methodological quality was examined with a checklist...
August 18, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28809173/context-sensitive-health-informatics-delivering-21st-century-healthcare-building-a-quality-and-efficiency-driven-system
#8
Zoie Shui-Yee Wong, Christian Nøhr, Craig E Kuziemsky, Eman Leung, Frank Chen
Health informatics applications will be a cornerstone in the next generation quality-and-efficiency health care system. Health care is delivered from many different specialties, to many different patients with complex diseases and comorbidity. A one size fits all approach is not adequate to reach the Triple Aim of improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care. Health informatics applications must be built to be adaptable and sensitive to the complex contexts they will be used in...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28804084/comparison-of-patient-experience-between-a-practice-for-homeless-patients-and-other-practices-engaged-in-a-patient-centered-medical-home-initiative
#9
Bittie Behl-Chadha, Judith A Savageau, Monica Bharel, Michael Gagnon, Pei-Pei Lei, Carla Hillerns
Despite its increasing popularity, little is known about the patient-centered medical home (PCMH) model in primary care settings serving homeless populations. Our objective was to understand how patient experience differs between a PCMH demonstration practice designed for homeless people in Massachusetts and other practices participating in the same statewide initiative. The study population included 194 homeless patients and 1,868 patients from comparison practices. Patient experience was compared on key measures of patient-centeredness, while applying case-mix adjustment to control for sociodemographic and clinical factors...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28794620/spreading-improvements-for-advanced-copd-care-through-a-canadian-collaborative
#10
Graeme M Rocker, Claudia Amar, Wendy L Laframboise, Jane Burns, Jennifer Y Verma
BACKGROUND: A year-long pan-Canadian quality improvement collaborative (QIC) led by the Canadian Foundation for Healthcare Improvement (CFHI) supported the spread of the successful Halifax, Nova Scotia-based INSPIRED COPD Outreach Program™ to 19 teams in the 10 Canadian provinces. We describe QIC results, addressing two main questions: 1) Can the results of the Nova Scotia INSPIRED model be replicated elsewhere in Canada? 2) How did the teams implement and evaluate their versions of the INSPIRED program? METHODS: Collaborative faculty selected measures that were evidence-based, relatively simple to collect, and relevant to local context...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28789758/-method-description-user-led-healthcare-in-patient-pathways
#11
Helle Max Martin, Line Hjøllund Pedersen, Anne Mette Uhre Johansen
User-led healthcare is a method aimed at involving patients systematically in the planning and execution of their treatment and care. The method ensures that the extent of the patients' responsibilities is aligned with their individual preferences. It is a way to ensure patient-centeredness in a healthcare system which is under pressure, and in which patients become a critical resource.
July 17, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28779910/informed-and-patient-centered-decision-making-in-the-primary-care-visits-of-african-americans-with-depression
#12
Anika L Hines, Debra Roter, Bri K Ghods Dinoso, Kathryn A Carson, Gail L Daumit, Lisa A Cooper
OBJECTIVE: We examined the prevalence and extent of informed decision-making (IDM) and patient-centered decision-making (PCDM) in primary care visits of African Americans with depression. METHODS: We performed a cross-sectional analysis of audiotaped clinical encounters and post-visit surveys of 76 patients and their clinicians. We used RIAS to characterize patient-centeredness of visit dialogue. IDM entailed discussion of 3 components: the nature of the decision, alternatives, and pros/cons...
July 25, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28763456/is-directly-observed-tuberculosis-treatment-strategy-patient-centered-a-mixed-method-study-in-addis-ababa-ethiopia
#13
Belete Getahun, Zethu Zerish Nkosi
INTRODUCTION: The directly observed treatment, short course (DOTS) strategy has been considered as an efficacious approach for better tuberculosis (TB) treatment adherence and outcome. However, its level of patient centerdness has not been studied and documented well. Hence, the study aimed to determine the level of patient centeredness' of the DOTS. METHOD: The study used explanatory sequential mixed method design in Addis Ababa, Ethiopia. The study employed an interviewer-administered questionnaire with 601 patients with TB, focus group discussions with 23 TB experts, and telephonic-interview with 25 persons lost to follow-up from TB treatment...
2017: PloS One
https://www.readbyqxmd.com/read/28722646/noncongruence-between-audiologist-and-patient-preferences-for-patient-centeredness
#14
Vinaya Manchaiah, Ashley L Dockens, Monica Bellon-Harn, Erin S Burns
BACKGROUND: Trends in preferences of both healthcare providers and patients to patient-centeredness have been emphasized in research. However, an understanding of the nature of preferences to patient-centeredness within the context of the audiologist-patient relationship is needed. PURPOSE: The purpose of this study is to explore the congruence between audiologist and patient preferences for patient-centeredness. RESEARCH DESIGN: A cross-sectional survey design was used to gather data from audiologists and patients with hearing loss...
July 2017: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/28720919/delivering-tobacco-cessation-content-in-the-middle-east-through-interprofessional-learning
#15
Alla El-Awaisi, Ahmed Awaisu, Maguy Saffouh El Hajj, Bayan Alemrayat, Ghadir Al-Jayyousi, Norman Wong, Mohamud A Verjee
Objective. To explore the attitudes of pharmacy, pharmacy technician, medical, and public health students before and after an IPE activity that focused on smoking cessation in the Middle East. Methods. A pre-post intervention research design using the Readiness for Interprofessional Learning Scale (RIPLS) was used for this study. The tool contained 20 items, categorized under the following subscales: teamwork and collaboration, professional identity, and patient-centeredness. Results. A total of 47 out of 50 students from four different health disciplines in Qatar (medicine, pharmacy, pharmacy technician, and public health) who participated in the activity completed a pre- and post-intervention pre-validated questionnaire (94% response rate)...
June 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28705023/helping-hospitals-improve-patient-centeredness-assessing-the-impact-of-feedback-following-a-best-practices-workshop
#16
Christoph Kowalski, William H Yeaton, Kathrin Kuhr, Holger Pfaff
Regularly reported patient surveys are an important dimension of hospital quality management. This study investigates whether providing hospital staff with interim feedback on patient survey results following a best practices workshop can help hospitals improve patient centeredness. Standardized surveys with consecutive patient samples were administered in accredited breast cancer center (BCC) hospitals in one German state (18 million inhabitants), over a 6-month period, in 2012. Two studies were conducted by applying a combination of regression point displacement (RPD) and interrupted time series (ITS) designs...
June 2017: Evaluation & the Health Professions
https://www.readbyqxmd.com/read/28704377/a-cluster-randomized-controlled-study-to-evaluate-a-team-coaching-concept-for-improving-teamwork-and-patient-centeredness-in-rehabilitation-teams
#17
Mirjam Körner, Leonie Luzay, Anne Plewnia, Sonja Becker, Manfred Rundel, Linda Zimmermann, Christian Müller
PURPOSE: Although the relevance of interprofessional teamwork in the delivery of patient-centered care is well known, there is a lack of interventions for improving team interaction in the context of rehabilitation in Germany. The aim of the present study is to evaluate whether a specially developed team coaching concept (TCC) could improve both teamwork and patient-centeredness. METHOD: A multicenter, cluster-randomized controlled intervention study was conducted with both staff and patient questionnaires...
2017: PloS One
https://www.readbyqxmd.com/read/28693569/validation-of-an-instrument-to-assess-the-delivery-of-patient-centred-care-to-people-with-intellectual-disabilities-as-perceived-by-professionals
#18
Jane Murray Cramm, Anna Petra Nieboer
BACKGROUND: Patient/Person Centred Care (PCC) has achieved widespread attention which resulted in the identification of eight dimensions of PCC: Respect for the patients' values, preferences and expressed needs; information and education; access to care; emotional support to relieve fear and anxiety; involvement of family and friends; continuity and secure transition between healthcare settings; physical comfort; coordination of care. An instrument to assess patient centeredness of care delivery according to these eight dimensions among professionals is however lacking...
July 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28679817/a-positive-association-between-hospice-profit-margin-and-the-rate-at-which-patients-are-discharged-before-death
#19
Rachel Dolin, G Mark Holmes, Sally C Stearns, Denise A Kirk, Laura C Hanson, Donald H Taylor, Pam Silberman
Hospice care is designed to support patients and families through the final phase of illness and death. Yet for more than a decade, hospices have steadily increased the rate at which they discharge patients before death-a practice known as "live discharge." Although certain live discharges are consistent with high-quality care, regulators have expressed concern that some hospices' desire to maximize profits drives them to inappropriately discharge patients. We used Medicare claims data for 2012-13 and cost reports for 2011-13 to explore relationships between hospice-level financial margins and live discharge rates among freestanding hospices...
July 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28666438/what-is-appropriate-care-an-integrative-review-of-emerging-themes-in-the-literature
#20
Joelle Robertson-Preidler, Nikola Biller-Andorno, Tricia J Johnson
BACKGROUND: Health care improvement efforts should be aligned in order to make a meaningful impact on health systems. Appropriate care delivery could be a unifying goal to help coordinate efforts to improve health outcomes and ensure system sustainability. A more complete understanding of how appropriate care is currently conceived in research and clinical practice could help inform a more integrated and holistic concept of appropriate care that could guide health care policy and delivery practices...
June 30, 2017: BMC Health Services Research
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