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http://dx.doi.org/10.14371/QIH.2019.25.2.26

Conceptual Constructs of Patient Centeredness: Perspective of Patients and Family Members  

Kim, Un-Na (Department of Health Policy and Management, Seoul National University College of Medicine)
Ock, Minsu (Department of Preventive Medicine, University of Ulsan College of Medicine)
Shin, Yukyung (Department of Medicine, Seoul National University College of Medicine)
Jo, Min-Woo (Department of Preventive Medicine, University of Ulsan College of Medicine)
Lee, Jin Yong (Department of Health Policy and Management, Seoul National University College of Medicine)
Do, Young Kyung (Department of Health Policy and Management, Seoul National University College of Medicine)
Publication Information
Quality Improvement in Health Care / v.25, no.2, 2019 , pp. 26-43 More about this Journal
Abstract
Purpose:The objective of this study was to identify the conceptual constructs of patient centeredness from the perspective of patients and family members in Korea, and to compare them with those included in the Picker Institute framework. Methods: Two focus group discussions were conducted. Each focus group consisted of six participants who had experienced being either a patient or a caregiver. We carried out a thematic analysis, and then compared the contents of our focus group discussions with the components of patient-centered care outlined by the Picker Institute. Results: Six conceptual constructs of patient centeredness emerged from the focus group discussions. Five of these overlapped with those outlined by the Picker Institute: 1)respect for patients' values, preferences, and needs, 2) coordination and integration of care, 3) information, communication, and education, 4) physical comfort, and 5) emotional support and alleviation for fear and anxiety. A new component that was not mentioned in the Picker Institute framework emerged from this study: "ease of making a complaint." Currently, "involvement of family and friends" and "continuity and transition" were not prominent components of patient centeredness according to our focus group discussions. Conclusions: This study presents the conceptual constructs of patient centeredness, five of which overlap with those outlined by the Picker Institute, and provides a qualitative basis of the patient experience survey currently being implemented by the Health Insurance Review & Assessment Service in Korea.
Keywords
Patient centeredness; Patient experience; Focus groups; Qualitative research;
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  • Reference
1 Donabedian A. Evaluating the quality of medical care. The Milbank Quarterly. 2005;83(4):691-729.   DOI
2 Institute of Medicine Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington D.C., United State: National Academies Press; 2001.
3 World Health Organization. The World Health Report: 2000: health systems: improving performance. World Health Organization; 2000.
4 Do YK, Kim JE, Lee JY, Lee HY, Jo M, Kim U, et al. Study on the development of patient-centeredness assessment model. Health Insurance Review & Assessment Service, Seoul National University Research and Development Business Foundation; 2015.
5 Do YK. Assessing patient experience to improve patient centeredness: grounds, significance, and future tasks. Health Insurance Review & Assessment Service; 2017.
6 Shaller D. Patient-centered care: what does it take?: Commonwealth Fund. New York; 2007.
7 Gerteis M, Edgman-Levitan S, Daley J, Delbanco TL. Through the patient's eyes: understanding and promoting patient-centered care. Wiley; 2002.
8 Krueger RA, Casey MA. Focus groups: a practical guide for applied research. SAGE Publications; 2014.
9 Lehoux P, Poland B, Daudelin G. Focus group research and "the patient's view". Social Science & Medicine. 2006;63(8):2091-104.   DOI
10 Kitzinger J. Qualitative research. Introducing focus groups. BMJ. 1995;311(7000):299-302.   DOI
11 Health Insurance Review & Assessment Service. Releasing results of first patient experience survey where patients directly participated[internet]. Seoul, Korea: Ministry of Health and Welfare. 2018[cited 2018 Aug 9]. Available from: http://www.mohw.go.kr/react/modules/download.jsp?BOARD_ID=140&CONT_SEQ=345664&FILE_SEQ=235488
12 Balint E. The possibilities of patient-centered medicine. The Journal of the Royal College of General Practitioners. 1969;17(82):269-76.
13 Epstein RM, Franks P, Fiscella K, Shields CG, Meldrum SC, Kravitz RL, et al. Measuring patient-centered communication in patient-physician consultations: theoretical and practical issues. Social Science & Medicine. 2005;61(7):1516-28.   DOI
14 Epstein RM, Street RL. The values and value of patient-centered care. The Annals of Family Medicine. 2011;9(2):100-3.   DOI
15 Ishikawa H, Hashimoto H, Kiuchi T. The evolving concept of "patient-centeredness" in patient-physician communication research. Social Science & Medicine. 2013;96:147-53.   DOI
16 Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Social Science & Medicine. 2000;51(7):1087-110.   DOI
17 Lee SK, Cho B. A qualitative insight into patient satisfaction survey in Korean context: focusing on understanding and searching patient experience. Health and Social Science. 2018;47:107-48.   DOI
18 You S. Increasing the use of nursing staff in hospitals instead of relying on family members' assistance. Perspectives in Nursing Science. 2006;6(1):77-83.
19 Kang SY, Lee SM. The development of satisfaction tool to health care services - focused on patients and their families. Quality Improvement in Health Care. 1996;3(1):104-24.
20 Bae SK, Nam EW, Park JY. A study on major factors on patient satisfaction of general hospitals in Korea. Korean Journal of Hospital Management. 2005;10(2):26-44.