Patient-centred care in an occupational medicine clinic.


Journal

Occupational medicine (Oxford, England)
ISSN: 1471-8405
Titre abrégé: Occup Med (Lond)
Pays: England
ID NLM: 9205857

Informations de publication

Date de publication:
01 Oct 2019
Historique:
pubmed: 9 8 2019
medline: 14 4 2020
entrez: 9 8 2019
Statut: ppublish

Résumé

Patient-centred care (PCC) has been associated with improved patient satisfaction outcomes in a variety of clinical settings. There is a paucity of research addressing the concept of PCC in an occupational medicine context. To assess patient perception and compare physician and patient perceptions of patient centredness of the care at a specialty occupational medicine clinic. An observational study design using the Patient Perception of Patient Centeredness Questionnaire (PPPC) at an ambulatory tertiary care occupational health clinic. Results were analysed using a standardized coding system. Summary scores were compared to results reported in a primary care setting. Patient and physician scores were compared to detect physician-patient differences in perceived patient centredness of care. Of 47 eligible patients 37 consented to participate and seven were excluded due to incomplete data. Summary scores of patient perceptions of patient centredness were similar but somewhat better than scores reported in a primary care setting. Perceived patient centredness of care was high and there was minimal discordance between patient and physician scores. This study demonstrated that PCC can be measured in an occupational health setting. In an ambulatory tertiary care occupational health clinic there was a high degree of patient centredness of care which may be explained by a variety of factors. Future research should consider whether similar findings exist in other occupational medicine practice settings.

Sections du résumé

BACKGROUND BACKGROUND
Patient-centred care (PCC) has been associated with improved patient satisfaction outcomes in a variety of clinical settings. There is a paucity of research addressing the concept of PCC in an occupational medicine context.
AIMS OBJECTIVE
To assess patient perception and compare physician and patient perceptions of patient centredness of the care at a specialty occupational medicine clinic.
METHODS METHODS
An observational study design using the Patient Perception of Patient Centeredness Questionnaire (PPPC) at an ambulatory tertiary care occupational health clinic. Results were analysed using a standardized coding system. Summary scores were compared to results reported in a primary care setting. Patient and physician scores were compared to detect physician-patient differences in perceived patient centredness of care.
RESULTS RESULTS
Of 47 eligible patients 37 consented to participate and seven were excluded due to incomplete data. Summary scores of patient perceptions of patient centredness were similar but somewhat better than scores reported in a primary care setting. Perceived patient centredness of care was high and there was minimal discordance between patient and physician scores.
CONCLUSIONS CONCLUSIONS
This study demonstrated that PCC can be measured in an occupational health setting. In an ambulatory tertiary care occupational health clinic there was a high degree of patient centredness of care which may be explained by a variety of factors. Future research should consider whether similar findings exist in other occupational medicine practice settings.

Identifiants

pubmed: 31394572
pii: 5545299
doi: 10.1093/occmed/kqz092
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

441-444

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Auteurs

S Lari (S)

Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

A M S Thompson (AMS)

Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Division of Occupational and Environmental Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

V Spilchuk (V)

Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Division of Occupational and Environmental Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.

M Afanasyeva (M)

Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

D L Holness (DL)

Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Division of Occupational and Environmental Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.

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Classifications MeSH