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Journal ArticleDOI

Patient-Centered Care and Outcomes: A Systematic Review of the Literature

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TLDR
A systematic review of the PCC literature found mixed relationships between PCC and clinical outcomes, that is, some studies found significant relationships between specific elements of P CC and outcomes but others found no relationship.
Abstract
Patient-centered care (PCC) has been studied for several decades. Yet a clear definition of PCC is lacking, as is an understanding of how specific PCC processes relate to patient outcomes. We conducted a systematic review of the PCC literature to examine the evidence for PCC and outcomes. Three databases were searched for all years through September 2012. We retained 40 articles for the analysis. Results found mixed relationships between PCC and clinical outcomes, that is, some studies found significant relationships between specific elements of PCC and outcomes but others found no relationship. There was stronger evidence for positive influences of PCC on satisfaction and self-management. Future research should examine specific dimensions of PCC and how they relate to technical care quality, particularly some dimensions that have not been studied extensively. Future research also should identify moderating and mediating variables in the PPC-outcomes relationship.

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Citations
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An integrative model of patient-centeredness - a systematic review and concept analysis

TL;DR: The proposed integrative model of patient-centeredness provides a foundation for creating better measures and interventions and can also be used to inform the development of clinical guidance documents and health policy directives.
Journal ArticleDOI

How to practice person-centred care: A conceptual framework

TL;DR: A gap remains in practical guidance on PCC implementation, and several conceptual frameworks for PCC exist, which need to be considered for implementation.
Journal ArticleDOI

Patient-Centered Approaches to Health Care A Systematic Review of Randomized Controlled Trials

TL;DR: Although it was difficult to draw firm conclusions, this review has shown some promising findings from implementing a patient-centered care approach and there appeared to be benefits associated with this model of care in terms of patient satisfaction and perceived quality of care.
References
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Journal ArticleDOI

The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.

TL;DR: This article seeks to make theorists and researchers aware of the importance of not using the terms moderator and mediator interchangeably by carefully elaborating the many ways in which moderators and mediators differ, and delineates the conceptual and strategic implications of making use of such distinctions with regard to a wide range of phenomena.
Journal ArticleDOI

Crossing the Quality Chasm: A New Health System for the 21st Century

Alastair Baker
- 17 Nov 2001 - 
TL;DR: Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Journal ArticleDOI

The Quality of Care: How Can It Be Assessed?

TL;DR: Assessing quality depends on whether one assesses only the performance of practitioners or also the contributions of patients and of the health care system, on how broadly health and responsibility for health are defined, and on whether the maximally effective or optimally effective care is sought.
Journal ArticleDOI

Patient-centredness: a conceptual framework and review of the empirical literature.

TL;DR: This paper reviews the conceptual and empirical literature in order to develop a model of the various aspects of the doctor-patient relationship encompassed by the concept of 'patient-centredness' and to assess the advantages and disadvantages of alternative methods of measurement.
Journal Article

The impact of patient-centered care on outcomes.

TL;DR: Positive perceptions of patient-centered communication were associated with better recovery from their discomfort and concern, better emotional health 2 months later, and fewer diagnostic tests and referrals.
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