The literature on healthcare management and innovation has long noted that shared decision-making (SDM), a practice of organizing joint decisions between professionals patients, should improve outcomes by increasing patient engagement autonomy, thus fostering patient-centeredness equality. While SDM projects are increasingly implemented across Europe worldwide, the diffusion remains partial. ex...

Background Primary care is relatively weak in the Republic of Korea. As the referral system is not well established, patients can freely choose from among clinics, hospitals, and tertiary hospitals. This study was conducted to determine the factors influencing patients' choice of providers. Methods A survey was conducted of 999 Korean adults aged 19-59 years. An exploratory factor analysis wa...

BACKGROUND Endometriosis is a prevalent condition compromising physical and psychosocial health and thus requiring patient-centered care, which is guided by patients' values. This study aimed to find out what the patient's perspective on endometriosis care is and how the patient-centeredness of endometriosis care can be improved. METHODS Electronic databases were searched systematically, and ...

OBJECTIVE This study used a recent patient survey to examine the relationship between having a usual source of care (USC) and the quality of ambulatory medical care experiences in Taiwan, where there is universal health insurance coverage. RESEARCH DESIGN, SUBJECTS, AND MEASURES The study design was a cross-sectional survey of 879 patients in Taichung County, Taiwan. Children and adults visit...

OBJECTIVES We examined the association between patient race/ethnicity and patient-physician communication during medical visits. METHODS We used audiotape and questionnaire data collected in 1998 and 2002 to determine whether the quality of medical-visit communication differs among African American versus White patients. We analyzed data from 458 African American and White patients who visite...

The concept of patient-centered care has received increased attention in recent years and is now considered an essential aspiration of high-quality health care systems. Because of technologic advances as well as changes in the organization and financing of care delivery, contemporary health care has evolved tremendously since the concept of patient-centeredness was introduced in the late 1980s....

BACKGROUND About 40% of all health burden in New Zealand is due to cancer, cardiovascular disease, and type 2 diabetes/obesity. Outcomes for Māori (indigenous people) are significantly worse than non-Maori; these inequities mirror those found in indigenous communities elsewhere. Evidence-based interventions with established efficacy may not be effective in indigenous communities without address...

PURPOSE The aim of the study was to assess hypertensive patients' self-care agency and any correlation with the patient's lifestyle changes and the nurse's degree of patient centeredness after counseling training. DATA SOURCES Nurses in the intervention group (IG; n = 19) working at nurse-led clinics at health centers were trained in patient centeredness (motivational interviewing) and the st...

Critical thinking is often considered an essential learning outcome of institutions in higher education. Previous work has proposed three pedagogical strategies to address this goal: more active, student-centered in-class instruction, assessments which contain higher-order cognitive questions, and greater alignment within a classroom (i.e., high agreement of the cognitive level of learning obje...

OBJECTIVE To examine to what extent general practitioners in consultations after a geriatric assessment set shared health priorities with older patients experiencing multimorbidity and to what extent this was facilitated through patient-centered behavior. METHODS Observation of consultations embedded in a cluster randomized controlled trial,(1) in which 317 patients from 41 general practices ...