Patient-Centered Care in Chronic Diseases Among Iranian Patients: The Acceptability of Paternalism as a Distinctive Feature

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-04-11 DOI:10.1111/jep.70073

Mohsen Khosravi, Payam Shojaei, Zahra Kavosi, Ramin Ravangard, Ehsan Shamsi Gooshki, Milad Ahmadi Marzaleh, Sajad Delavari

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引用次数: 0

Abstract

Rationale

Research on patient-centeredness in managing chronic diseases like cancer, diabetes, stroke, and heart disorders is gaining prominence. This approach in chronic disease management involves various dimensions and elements, the importance of which has been presented to differ.

Aims and Objectives

The present research, carried out in the year 2023, aimed to identify and prioritize existing dimensions and elements of patient-centered care for chronic diseases.

Methods

Firstly, multiple databases including the Cochrane Database of Systematic Reviews, Scopus, PubMed and ProQuest were searched. Secondly, 35 chronic patients were interviewed; Finally, a sample of 30 experts familiar with the context was asked to rank the dimensions and elements of patient-centered care using Best-Worst method.

Results

The study identified 6 dimensions and 13 elements of patient-centered care in chronic diseases. The findings indicated that accessibility, quality, education, timeliness and affordability were the five elements that ranked highest in importance for designing and implementing patient-centered care interventions for chronic diseases.

Conclusion

The results presented that Iranian patients with chronic diseases exhibit a positive attitude towards paternalistic behavior and often prefer others to make the best therapeutic decisions on their behalf. Our research revealed that the concept of patient-centered care differs across regions and cultures, highlighting the need for policymakers and researchers to adapt strategies to the specific characteristics of local populations around the globe.

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.