Patient participation in clinical encounters: a systematic review to identify self-report measures.
Health Expect
; 18(6): 1827-43, 2015 Dec.
Article
em En
| MEDLINE
| ID: mdl-24611995
ABSTRACT
BACKGROUND:
There is evidence suggesting that active participation of patients in their health care can improve the quality of care and decrease health-care costs. Further, patient reports of their health-care experience are increasingly used to monitor health-care quality.OBJECTIVE:
This paper describes a systematic review of peer-reviewed studies to identify measures of patients' active participation in their encounters with health-care providers.METHODS:
A systematic literature review was conducted for publications indexed from 1975 to 2011. Of interest were self-reported measures of patient participation that were not limited to a specific health concern. All abstracts were reviewed independently by two authors, and the full paper was considered for those meeting inclusion criteria. MAINRESULTS:
From a review of 4528 citations, ten measures were identified. The approaches to development of the measures varied considerably, as did their study samples and their psychometric quality.DISCUSSION:
These measures represented three conceptual frameworks empowerment and self-efficacy, therapeutic alliance, and consumerism/satisfaction. They provide a more comprehensive perspective of patients' experiences of their provider encounters, and a better understanding patient behaviour enhanced the quality of health-care delivery or improved health outcomes. These measures underscore the continuing challenge of defining patient participation and the multiple theoretical approaches that underlie this form of patient behaviour.CONCLUSIONS:
Current interest in quality-related physician report cards gives significant weight to patients' self-reported experiences as one dimension of physician performance. It is critical to identify the specific focus and quality of measures selected for this and research purposes.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Participação do Paciente
/
Qualidade da Assistência à Saúde
/
Autorrelato
Tipo de estudo:
Prognostic_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Health Expect
Assunto da revista:
PESQUISA EM SERVICOS DE SAUDE
/
SAUDE PUBLICA
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Estados Unidos