Patients' perspectives of facilitators and barriers to patient-centred care: insights from qualitative patient interviews.
care process
interview
patient-centred care
patient-provider interaction
qualitative research
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
05 05 2020
05 05 2020
Historique:
entrez:
8
5
2020
pubmed:
8
5
2020
medline:
16
2
2021
Statut:
epublish
Résumé
Previous studies on patient-centred care (PCC) and its facilitators and barriers usually considered specific patient groups, healthcare settings and aspects of PCC or focused on expert perspectives. The objective of this study was to analyse patients' perspectives of facilitators and barriers towards implementing PCC. We conducted semistructured individual interviews with chronically ill patients. The interviewees were encouraged to share positive and negative experiences of care and the related facilitators and barriers in all settings including preventive, acute and chronic health issues. Interview data were analysed based on the concept of content analysis. Interviews took place at the University Hospital Cologne, nursing homes, at participants' homes or by telephone. Any person with at least one chronic illness living in the region of Cologne was eligible for participation. 25 persons with an average age of 60 years participated in the interviews. The participants suffered from various chronic conditions including mental health problems, oncological, metabolic, neurological diseases, but also shared experiences related to acute health issues. Participants described facilitators and barriers of PCC on the microlevel (eg, patient-provider interaction), mesolevel (eg, health and social care organisation, HSCO) and macrolevel (eg, laws, financing). In addition to previous concepts, interviewees illustrated the importance of being an active patient by taking individual responsibility for health. Interviewees considered functioning teams and healthy staff members a facilitator of PCC as this can compensate stressful situations or lack of staff to some degree. A lack of transparency in financing and reimbursement was identified as barrier to PCC. Individual providers and HSCOs can address many facilitators and barriers of PCC as perceived by patients. Large-scale changes such as reduction of administrative barriers, the expansion of care networks or higher mandatory nurse to patient ratios require political action and incentives. DRKS00011925.
Identifiants
pubmed: 32376748
pii: bmjopen-2019-033449
doi: 10.1136/bmjopen-2019-033449
pmc: PMC7223019
doi:
Banques de données
DRKS
['DRKS00011925']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e033449Investigateurs
Christian Albus
(C)
Lena Ansmann
(L)
Frank Jessen
(F)
Ute Karbach
(U)
Ludwig Kuntz
(L)
Holger Pfaff
(H)
Christian Rietz
(C)
Ingrid Schubert
(I)
Frank Schulz-Nieswandt
(F)
Nadine Scholten
(N)
Stephanie Stock
(S)
Julia Strupp
(J)
Raymond Voltz
(R)
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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