Science topic
Patient-Centered Care - Science topic
Patient-Centered Care is a design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)
Questions related to Patient-Centered Care
I am looking for a validated QOL tool to assess how much burden (i.e. time, costs, restriction of activities, difficultly, stress, pain) a patient's medical care/management (NOT their medical condition) causes them and/or their family. This is mostly for adult home-based rather than hospital based patients and the medical care would predominantly be self administered or administered by a carer/relative.
I have looked at standard QOL tools such as EQ5D, but most of these tools focus of the impact of the medical condition itself or the overall health of the patient. I want to be able to assess if interventions designed to make patient's home medical care less burdensome are effective or not.
Thanks in advance!
Narrative Medicine places the patient's lived story of illness at the heart of every clinical encounter, and is therefore a practice integral both to the aspirations and the practicalities of patient-centered care.
During clinical consultation doctors and nurses interview patients about their medical history. But, patients are usually not prepared for the clinical consultation. In theory, if patients administer their medical history on a computer/tablet before their appointment with the doctor or nurse, then they should be prompted and prepared for the medical history interview. This is one of the hypothetical advantages of patient-administered computerized history taking systems/automated medical history taking systems. What quantitative and/or qualitative factors measures exist that would assess if patients are prepared for the medical history interview?
I'm actually interested in identifying doctor-patient communication and non-communication measures that would determine if a group of patients who took an electronic medical history questionnaire were more prepared for a clinical consultation compared to a group that didn't take the electronic history questionnaire.
Patient-centered outcomes research...what does it mean to you?
Patients are reporting issues such as poor access to care, availability of socio-economic resources and time; knowledge; and emotional and physical energy. (Bee et al. 2014)
The work patients must do to care for their health; problem-focused strategies and tools to facilitate the work of self-care; and factors that exacerbate the burden felt (Eton et al 2014)
Capacity, responsibility, and motivation: a critical qualitative evaluation of patient and practitioner views about barriers to self-management in people with multimorbidity. BMC Health Services Research (Impact Factor: 1.77). 11/2014; 14::536. DOI: 10.1186/s12913-014-0536-y
Building a measurement framework of burden of treatment in complex patients with chronic conditions: a qualitative study. Patient Related Outcome Measures 2012:3 39–49 http://dx.doi.org/10.2147/PROM.S34681
Misconceptions of traumatic brain injuries are common for both patients and families dealing with these conditions. Values about pain and antidepressant medications may create potential conflict between the health care provider who orders these, the nurse who attempts to administer these medications, and the family who does not value pain and antidepressant medications for alleviating the pain and sense of loss caused by a traumatic brain injury. How can healthcare providers better anticipate the education and collaborative needs of patients and families concerning mild traumatic brain injuries and care plans? And, how does a practitioner best open the dialogue of mental health and misconceptions of mental health?
Some studies had named communicative attitudes, including arrogance and discourtesy among the major complains against doctors.
I am doing a needs assessment for my clinical site, but I do not know how to proceed. The area is psychiatry and I want to assess the gap in patient care of teaching patients about their medication. I am searching for a good reference that teaches how to conduct a needs assessment for specific areas of patient care.
