Abstract Ontological Addiction Theory is a metaphysical theory of mental illness which conceptualises psychological suffering in terms excessive ego-centeredness. This study aimed to develop and validate the Scale (OAS) compare OAS scores with health measures. A 31-item prototype scale was developed based on traditional Buddhist contemporary models addiction. An ego-centeredness form Five-Facto...

BACKGROUND While unannounced standardized patients (USPs) have been used to assess physicians' clinical skills in the ambulatory setting, they can also provide valuable information on patients' experience of the health care setting beyond the physician encounter. This paper explores the use of USPs as a methodology for evaluating patient-centered care in the health care system. METHODS USPs w...

Objectives: Health Risk Appraisals (HRAs) have been implemented in a variety of settings, however few studies have examined the impact of computerized HRAs systematically in primary care. The study aimed at the development and pilot testing of a novel, comprehensive HRA tool in primary care practices. Methods: We designed, implemented and pilot tested a novel, web-based HRA tool in four pairmat...

BACKGROUND Family-centeredness, compassion, and trust are 3 attributes of the clinician-parent relationship in the medical home. Among adults, these attributes are associated with patients' adherence to clinicians' advice. OBJECTIVES The objectives were (1) to measure medical home attributes related to the clinician-parent relationship, (2) to measure provision of anticipatory guidance regard...

s:3294:"Delivering high-quality care is the ultimate but challenging goal of healthcare. In all fields of healthcare, effectiveness and safety are the most acknowledged quality dimensions. Although crucial, true high quality care goes beyond this scope, and is also patient-centered. Patient centeredness is defined as ‘care that is respectful of and responsive to individual patient preferences a...

BACKGROUND Patient-centeredness is necessary for quality of care. Wide-spread incorporation of patient-centered practices across the health system is challenging in low and middle income countries (LMICs) given the complexity of scarce resources, competing priorities and rapidly changing social, economic and political landscapes. Health service managers and policy makers in these settings would...

BACKGROUND Previous reviews have shown inconsistent effects of publicly reported performance data on quality of care, but many new studies have become available in the 7 years since the last systematic review. PURPOSE To synthesize the evidence for using publicly reported performance data to improve quality. DATA SOURCES Web of Science, MEDLINE, EconLit, and Wilson Business Periodicals (199...

OBJECTIVE To identify components of the patient-doctor relationship associated with trust in physicians. METHODS We assessed 102 patients with systemic lupus erythematosus (SLE) or rheumatoid arthritis (RA) seen at publicly funded hospitals in Houston, Texas. Patients completed a self-response survey examining patient perceptions of the medical encounter and trust in their physicians. Evaluat...

OBJECTIVE Patient decision aids have been used in many clinical situations to improve the patient centeredness of care. A patient decision aid for patients with posttraumatic stress disorder (PTSD) has not been developed or tested. The authors evaluated the effects of a patient decision aid on the patient centeredness of PTSD treatment. METHODS The study was a randomized trial of a patient de...