BACKGROUND Improving the quality of care for patients living with a chronic illness is a key policy goal. Alongside systems to ensure care is delivered according to evidence-based guidelines, an essential component of these new models of care is the facilitation of self-management. However, changes to the way professionals deliver care is complex, and it is important to understand the key drive...

CONTEXT Many studies have documented race and gender differences in health care received by patients. However, few studies have related differences in the quality of interpersonal care to patient and physician race and gender. OBJECTIVE To describe how the race/ethnicity and gender of patients and physicians are associated with physicians' participatory decision-making (PDM) styles. DESIGN,...

The new Conditions for Coverage1 clearly establish the importance of patients directing and participating in their own dialysis care. First, the Conditions mandate the establishment of an interdisciplinary team (IDT) with the “patient, or the patient’s designee” as a participating member. (§ 494.80). Next, the Conditions place responsibility for patient assessment (§ 494.80) and patient care pl...

INTRODUCTION Despite the importance of continuity of care and patient engagement, few studies have captured patients' views on integrated care. This study assesses patient experience in the Integrated Care Pilot in North West London with the aim to help clinicians and policymakers understand patients' acceptability of integrated care and design future initiatives. METHODS A survey was develop...

CONTEXT Fragmentation of care, complexity of diseases and the need to involve patients actively in their individual health care led to the development of the personal health community (PHC). In a PHC, patients can -regardless of the nature of their condition- invite all professionals that are involved in their health care process. Once gathered, the patient and health care team can exchange inf...

Background: Pressures arising from premature infant care specially hospitalized infant can affect infant's quality of life and health by causing long term destructive effects on family's psychological and physical health. Aim:To investigate the effect of family participation on mother's general health and length of hospitalization of premature neonate. Methods: In this clinical trial 60 primipa...

conclusions patient and public participation in kashan hospitals are not adhered well. as the patient has an important role in improving the quality of services, more use of mass media especially local newspapers, hospital websites, and training programs are suggested to inform both the patients and public on their rights and roles in improving the healthcare services. background in the recent ...

The participation of patients in making decisions about their care is especially important towards the end of life because palliative care decisions involve extensive uncertainty and are heavily influenced by personal values. Yet, there is a scarcity of studies directly observing clinical interactions between palliative patients and their health care providers. In this study, we aimed to unders...