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Clinical outcomes: the impact of patient-centered care


, : Clinical outcomes: the impact of patient-centered care. Hu Li Za Zhi Journal of Nursing 59(6): 104-110

An extensive body of literature advocating a "patient-centered" approach to medical care has emerged over the past three decades. This approach is now a mainstream trend in healthcare. Despite its popularity, there remains little consensus regarding the content or definition of patient-centered care. Various quantitative and qualitative research studies have extracted core meanings from "doctor-patient relationship" perspectives and investigated the relationships of these meanings with patient satisfaction, compliance with health promoting behavior, and health status. Mead and Bower's review of the conceptual and empirical literature represented the first attempt to develop a model of the doctor-patient relationship that considered the multiple aspects embraced by the "patient-centered" approach. However, any interpretation of the "patient-centered" concept that fails to consider the perspective of nursing is likely incomplete, as patient-centered care is the essence of nursing. This paper reviewed the concept of "patient-centered care", conducted a systematic review of randomized control trials to explore the effectiveness of patient-centered care, and integrated nursing-related studies that focused on patient-centered care. Our search covered articles published through the end of February 2011 in the Cochrane Controlled Trials Register, JBI, MEDLINE, CINAHL, Pubmed, ProQuest, PsycInfo, and CEPS, with 13 relevant articles identified. The majority of trials addressed by these studies demonstrated a positive "patient-centered care" effect on self-care knowledge and skills but a limited/insignificant effect on disease improvement. The reviewed studies used traditional definitions of "patient-centered care" that were inconsistent with the concepts defined by Mead and Bower. Heterogeneities exist between reviewed studies and the lack of related research in Taiwan. We thus integrated outcome indicators related to "patient-centered care". This study may be referenced by nursing research and clinical care professionals responsible to improve and integrate medical care quality.

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PMID: 23212262


Other references

Wemeau, L.; Defrance, G.; Blin, B., 1962: Therapeutic stenosis of the tuberculous excretory urinary tract. Lille Medical 7: 253-255

Davis, J.H., 1995: The future of the medical examiner system. First Milton Helpern Laureate Award address, National Association of Medical Examiners, Hawaii, September, 1991. American Journal of Forensic Medicine and Pathology 16(4): 265-269

Welch D., 1985: Alcoholic beverage legislation harmonizing european economic community laws. The range of non-tariff obstacles to intra-EEC (European Economic Community) trade in alcoholic beverages is outlined. The response of EEC institutions viz a viz harmonization of laws and European Court jurisprudence is decribed. The implications...

Solov'eva N.A.; Morozkova T.S.; Salganik R.I., 1975: Production of sublines of rats with characteristics of hereditary galactosemia and investigation of their biochemical peculiarities. Soviet Genetics (English Translation of Genetika) 11(5): (1976)

Laursen, Lucas, 2010: Climate scientists shine light on cave ice. Science 329.5993

Char, D.H.; Rand, N.; Howes, E.L.; Lyon, H.; Morita, C.T., 1983: Antiretinoblastoma monoclonal antibodies. Mouse-mouse somatic hybridization techniques were used to produce monoclonal antibodies directed towards antigen expressed on retinoblastoma-derived tissue culture cell lines. Four monoclonal antibodies were produced with varying avidity which wer...

Hino, M.; Kijima-Suda, I.; Nagai, Y.; Hosoya, H., 2003: Glycosylation of the alpha and beta tubulin by sialyloligosaccharides. To examine whether alpha and beta tubulin are glycoproteins, we used a pyridylamino labeling method and a monoclonal antibody, SG3-1, raised against NeuAcalpha2-3Gal structure. Alpha and beta tubulin from both pig brain and HeLa cells were positiv...

Pathak, P.Kumar.; Singh, A., 2011: Trends in malnutrition among children in India: growing inequalities across different economic groups. This paper examines the trends and patterns of economic inequalities with respect to child malnutrition by wealth status of population across major regions and states of India. Data from three rounds of National Family and Health Survey (NFHS) con...

Schawerda, K., 1920: Lepidopterenausbeute aus der Gegend von Lovrana und vom Monte Maggiore. Zsr. Ent.-Ver., Vienna: 10-11, 20-21, 28-29, 36, 43

Smith, A.M.; McCauley, T.R.; Jokl, P., 1993: SLAP lesions of the glenoid labrum diagnosed with MR imaging. Tears of the superior portion of the glenoid labrum in patients without shoulder instability have recently been described. These tears, which include the "anchor" of the biceps tendon to the labrum, have been labeled "SLAP lesions&q...