scholarly journals Validation of Persian Version of Stewart Patient-Centered Care Scale (2004)

2021 ◽  
Author(s):  
Raziyeh Montazeralfaraj ◽  
Mohamad Amin Bahrami ◽  
Mohsen Hoseinzadeh ◽  
Sara Jambarsang
Keyword(s):  
Health Care ◽  
Construct Validity ◽  
Health Care System ◽  
Patient Centered Care ◽  
Face Validity ◽  
Alpha Coefficient ◽  
Patient Centered ◽  
Internal Reliability ◽  
Centered Care ◽  
Care System

Background: Provision of patient-centered services is one of the values of any health care system. Patient-centered means giving importance to the patient's rights and entitlements in all areas related to treatment and involving the patient in decisions throughout the process of rendering services to the patient. The purpose of this study was to translate and validate the Stewart Patient-Centered Questionnaire and to provide an appropriate and valid tool to assess the patient-centered rate in the provision of medical services. Methods: The present descriptive methodological study was conducted in 2020. Initially, Stewart patient-centered questionnaire was translated using the forward-backward method. Later, the translated version was examined by the research team to establish cultural compatibility with Iranian culture. The validity of its content was assessed by obtaining the opinions of 15 health management specialists and its face validity was assessed by 15 patients. The internal reliability of the questionnaire was assessed using the opinions of 30 patients and Cronbach's alpha coefficient was calculated using SPSS 22 software. The construct validity was assessed according to the opinions of 283 patients in the study population through STATA 15 software. Results: Based on the content validity results, all items of the main questionnaire had acceptable CVR and the CVI index was 0.87 for this questionnaire. The face validity also confirmed all the statements. Cronbach's alpha coefficient of the whole questionnaire was calculated as 0.976 and thus the internal reliability of the questionnaire was confirmed. Based on the results of the confirmatory invoice analysis GFI (0.988), RMR (0.048), and CFI (0.984), the translated questionnaire had suitable construct validity and all questions were retained. Conclusion: The questionnaire can be applied as a valid and applicable tool for assessing patient-centered care in the Iranian health care system.

scholarly journals Management strategy of healthcare organizations. PDRQ–9 method

2021 ◽  
pp. 243-248
Author(s):  
Ch. E. Karibdzhanov
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Research ◽  
New Paradigm ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Brief Assessment ◽  
Centered Care ◽  
Physician Relationship ◽  
Care System

The main source of success for a customer-centric organization is the ability to identify its customers, identify their needs, and use that information to develop a customer-centric strategy. In this regard, there is a widespread change in attitudes toward the construction of management in organizations. Whereas previously the competitiveness of an organization could be measured by its financial performance, now the intellectual potential of an organization is at the forefront. As the role of the patient in the health care system has intensified, the importance of patient participation has received increasing attention and has become central to health care research. In this regard, in today’s environment, the foundation of success in the treatment and delivery of professional care in medicine is primarily the degree of patient satisfaction. Patient-centered care acts as a new paradigm for the development of the health care system, which is characterized by a shift in the center of gravity to the patient. In this regard, in the field of health care, the relationship between the patient and the doctor, as perceived by the patient, is one of the main elements of the methodology of scientific research. The purpose of this article is to review and analyze the results of the PDRQ–9, which assesses the patient-physician relationship. The PDRQ–9 provides researchers with a brief assessment of the therapeutic aspects of the patient-physician relationship in the primary care setting. It is a valuable tool for research and practice purposes that includes monitoring the patient-doctor relationship.

Turning the tables: Using resident physicians’ experiences as patients for leveraging patient-centered care

2018 ◽  
Vol 53 (5-6) ◽  
pp. 405-414
Author(s):  
Mary R Talen ◽  
Jeffrey Rosenblatt ◽  
Christina Durchholtz ◽  
Geraldine Malana
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Urgent Care ◽  
Patient Centered ◽  
Doctor Patient Communication ◽  
Centered Care ◽  
Patient Will ◽  
Physician Role ◽  
Physician Patient ◽  
Care System

Training physicians to become person-centered is a primary goal of behavioral health curriculum. We have curriculum on doctor–patient communication skills and patient narratives to help physicians relate to the patient’s experiences. However, there is nothing more effective than actually being the patient that gives providers an “aha” experience of the patient’s perspective. In this article, we will share personal resident physician-patient stories based on their experiences within acute urgent care, chronic disease management, and routine well health care. In each narrative, the physician-patient will describe how their experiences had an impact in three areas: (1) their professional identity, (2) their connection with patients, and (3) their experience of the health-care system and teams. Drawing from the key emotional and cognitive experiences from these stories, we will identify training strategies that can bridge the personal to professional experiences as a way to enhance person-centered care. Our goal is to use the physician’s insider perspective on the patient experience as a means to augment the awareness of professional physician role, team-based care, and navigating the health-care system.

scholarly journals Concordance and Patient-Centered Care in Medicaid Enrollees’ Care Experience With Providers

2021 ◽  
Vol 8 ◽  
pp. 237437352110340
Author(s):  
Iwimbong Kum Ghabowen ◽  
Neeraj Bhandari
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Patient Centered Care ◽  
Care Utilization ◽  
Federal State ◽  
Patient Centered ◽  
Care Experience ◽  
Centered Care ◽  
State And Local ◽  
Privately Insured

Patient-centered care is at the nexus of several overlapping institutional reforms to improve health care system performance. However, we know little regarding Medicaid patients’ experience with their doctors along several key dimensions of patient-centered care, and how their experience compares with Medicare and privately insured patients. We studied 4 outcomes using the 2017 National Health Interview Survey: patient–provider concordance on racial/sexual/cultural identity, respectful provider attitude, solicitation of patient opinion/beliefs during the care encounter, and patient-centered communication (PCC). The primary independent variable was Medicaid enrollee status. We dichotomized responses and ran multivariate logistic regressions for each type of care experience outcome, controlling for sociodemographic factors, health care access, and health care utilization of respondents. Compared to Medicare and privately insured enrollees, Medicaid enrollees reported much lower odds of seeing providers who treated them with respect (OR = 1.91, P < .001; OR = 1.62, P < .01) and who offered PCC (OR = 1.35, P < .05; OR = 1.35, P < .01), but similar odds of seeing concordant providers (OR = 0.78, P = .96; OR = 0.96, P = .72). Importantly, Medicaid enrollees reported higher odds of seeing providers who solicited their opinion/beliefs/preferences than their Medicare or privately insured counterparts (OR = 0.82, P < .05; OR = 0.87 P < .10). Medicaid enrollees report less patient-centered experiences in some important facets of their provider interaction than their Medicare or privately insured counterparts. Federal, state, and local policies and practices directed at improving these facets of patient–provider interaction are needed and should be aimed squarely at Medicaid providers, especially those working in geographic areas and settings with a disproportionate number of racial, gender, cultural, and linguistic minorities.

scholarly journals Unique Challenges for Otolaryngology Patients During the COVID-19 Pandemic

2020 ◽  
pp. 019459982095483
Author(s):  
Melissa Ghulam-Smith ◽  
Yeyoon Choi ◽  
Heather Edwards ◽  
Jessica R. Levi
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Intimate Contact ◽  
Respiratory Mucosa ◽  
Increased Risk ◽  
Centered Care ◽  
Upper Respiratory

The coronavirus disease 2019 (COVID-19) pandemic has drastically altered health care delivery and utilization. The field of otolaryngology in particular has faced distinct challenges and an increased risk of transmission as day-to-day procedures involve intimate contact with a highly infectious upper respiratory mucosa. While the difficulties for physicians have been thoroughly discussed, the unique challenges of patients have yet to be considered. In this article, we present challenges for patients of otolaryngology that warrant thoughtful consideration and propose solutions to address these challenges to maintain patient-centered care both during and in the aftermath of the COVID-19 pandemic.

Ethics and Professionalism

2015 ◽  
pp. 103-133
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Key Factors ◽  
Patient Centered ◽  
Unprofessional Behavior ◽  
Modern Health Care ◽  
Make Health Care ◽  
Care System

The purpose of this chapter is to explore one of the key factors for the deficiencies in the modern health care system: the supposed unprofessional behavior of doctors. This could take several forms ranging from clinical detachment at its mildest to criminal negligence at it severest. By studying the reasons for the lack of professionalism, one could devise ways to rectify the situation and make health care truly patient centered.

Health literacy and palliative care

2017 ◽  
Vol 25 (1) ◽  
pp. 94-95
Author(s):  
Melissa G. French
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Literacy ◽  
Patient Preferences ◽  
Health Care Organizations ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care ◽  
Pathway To Care

Abstract Health literacy and palliative care have been receiving more attention within health care organizations and systems in recent years. Both can offer a pathway to care that is better for patients and has the potential to be of high value. A health literate approach to palliative care provides patient-centered care that is better aligned with patient preferences and needs.

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