International journal of person centered medicine最新文献_第4页

IMPROVING OUTCOMES BY ACHIEVING PERSON-CENTERED CARE: A MODEL TO GUIDE PERSON-FOCUSED PRACTICE 通过实现以人为本的护理来改善结果:一种指导以人为本实践的模式

International journal of person centered medicine Pub Date : 2022-10-13 DOI: 10.5750/ijpcm.v10i3.1066

Gjyn O’Toole

{"title":"IMPROVING OUTCOMES BY ACHIEVING PERSON-CENTERED CARE: A MODEL TO GUIDE PERSON-FOCUSED PRACTICE","authors":"Gjyn O’Toole","doi":"10.5750/ijpcm.v10i3.1066","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i3.1066","url":null,"abstract":"Governments and organizations around the world have adopted the term person-centered care to describe and guide health care services and policies. While this concept is valued in practice it seems it is not always evident to the person/families. This unfortunate reality prompted exploration of this concept. The aim of this exploration was to identify the recognized characteristics of person/family-centered practice. It identified the difficulty of defining this type of practice along with potential barriers to achieving person-centered care in everyday practice. This led to the development of a model to guide all health professionals and guide education of trainee health professionals for delivering person/family-centered care. Exploration of a person-centered approach targeted literature specifically discussing person/family-centered care. The results led to the creation of a three-step model of person/family-centered goals and practice. The model has implications for all health professionals. It suggests characteristics of effective person/family-centered care, thereby potentially producing the ultimate aim of health care: satisfying outcomes for all stakeholders including the person/family, health professionals, employers, and policy makers.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88720120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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8TH INTERNATIONAL CONGRESS, 6TH LATIN AMERICAN CONFERENCE AND 2ND URUGUAYAN MEETING ON PERSON-CENTERED MEDICINE 2020, MONTEVIDEO, URUGUAY 2020年第八届国际大会、第六届拉丁美洲会议和第二届乌拉圭以人为本医学会议，乌拉圭蒙得维的亚

International journal of person centered medicine Pub Date : 2022-10-13 DOI: 10.5750/ijpcm.v10i3.1068

A. Perales, Oscar Cluzet, J. Mezzich

引用次数: 0

DEVELOPMENT AND INITIAL PSYCHOMETRIC VALIDATION OF A REAL-TIME PATIENT REPORTED EXPERIENCE MEASURE 开发和初步心理测量验证的实时病人报告的经验措施

International journal of person centered medicine Pub Date : 2022-10-13 DOI: 10.5750/ijpcm.v10i3.1064

L. Moody, S. Benn, L. Ieraci, Esther Green, Saurabh M. Ingale, Gillian Hurwitz, N. Kraetschmer, E. Bridge, Siddharth Singh

{"title":"DEVELOPMENT AND INITIAL PSYCHOMETRIC VALIDATION OF A REAL-TIME PATIENT REPORTED EXPERIENCE MEASURE","authors":"L. Moody, S. Benn, L. Ieraci, Esther Green, Saurabh M. Ingale, Gillian Hurwitz, N. Kraetschmer, E. Bridge, Siddharth Singh","doi":"10.5750/ijpcm.v10i3.1064","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i3.1064","url":null,"abstract":"Patient-reported experience measures (PREMs) capture the patient’s view about his or her experience while receiving care across the continuum of care. Your Voice Matters (YVM), a real-time electronic PREM tool, was developed to measure the patient experience in the outpatient cancer setting and to drive quality improvements in the cancer system. This study describes the development and validation of YVM, a real-time electronic PREM tool in cancer services. Cognitive interviewing was conducted with patient and family advisors for both the French (n = 3) and English (n = 5) versions of the YVM tool. YVM was administered through five Regional Cancer Centers (RCCs) between April and August 2015. Shapley value regression used overall experience-dependent variables to determine core items and items eligible for removal from YVM. Exploratory factor analysis was used to determine the underlying factor structure.Internal consistency reliabilities were calculated using Cronbach’s alpha. A total of 557 YVM tools were completed by cancer patients in the treatment phase. Shapley value regression identified five lower scoring items for removal. Exploratory factor analysis showed that a 27-item, five-factor structure reflected the underlying patient experience dimensions in the cancer treatment visit. Cronbach’s alpha of 0.827 for all items suggested good internal consistency. YVM is a validated tool for measuring the experience of cancer patients during the treatment phase through the visit trajectory in real time. YVM will help drive improvements based on patients’ preferences and needs, and will provide robust patient experience data for cancer care delivery.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81689866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

FACTORS ASSOCIATED WITH THE PERSON-CENTERED CLINICAL METHOD IN PRIMARY HEALTH CARE: A STUDY IN PORTO ALEGRE, BRAZIL 与初级卫生保健中以人为中心的临床方法相关的因素:巴西阿雷格里港的一项研究

International journal of person centered medicine Pub Date : 2022-10-13 DOI: 10.5750/ijpcm.v10i3.1063

Rodrigo Caprio Leite De Castro, Daniela Riva Knauth

{"title":"FACTORS ASSOCIATED WITH THE PERSON-CENTERED CLINICAL METHOD IN PRIMARY HEALTH CARE: A STUDY IN PORTO ALEGRE, BRAZIL","authors":"Rodrigo Caprio Leite De Castro, Daniela Riva Knauth","doi":"10.5750/ijpcm.v10i3.1063","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i3.1063","url":null,"abstract":"Background. The medical approach is influenced by several factors present at the patient, doctor, health service, society, and culture levels. Purpose. The purpose of this paper is to establish the degree of person-centeredness of care attributed by patients to the clinical approach of physicians from a primary health care (PHC) service and to ascertain its association with variables related to the care recipient. Methods. This cross-sectional study was conducted with a sample of patients (n = 408) with hypertension and/or diabetes treated at 12 health centers belonging to a PHC network in the city of Porto Alegre, Rio Grande do Sul, Brazil. The degree of person-centered clinical method (PCCM) orientation was measured by the “Patient Perception of Patient-Centeredness” (PPPC) questionnaire. Results. The variables “educational attainment” and “duration of follow-up with the same physician” were significantly associated with a higher prevalence of low overall PPPC scores (corresponding to higher patient centeredness) assigned to physicians by the patients (PR = 1.04, 95% CI = 1.02–1.06, p-value < 0.001 and PR = 1.01, 95% CI = 1.00–1.02, p-value = 0.032, respectively). On the other hand, the variables “living alone” and “fair/poor/very poor self-perception of health” were significantly associated with a lower prevalence of person centeredness (PR = 0.83, 95% CI = 0.72–0.96, p-value = 0.011 and PR = 0.88, 95% CI = 0.77–1.00, p-value = 0.041, respectively). Conclusions. These findings demonstrate that clinical approaches to people with a high level of social vulnerability require improvement, and that the length of follow-up provided by one physician can be an indicator of the extent to which providers are able to deliver person-centered care.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"152 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87756343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PERSON-CENTERED CARE STARTS IN THE CLASSROOM: AN ACADEMIC JOURNEY OF REFINING CURRICULUM AND CULTURE 以人为本的关怀从课堂开始:一个完善课程和文化的学术之旅

International journal of person centered medicine Pub Date : 2022-10-13 DOI: 10.5750/ijpcm.v10i3.1065

G. McNeal, Christy Schumacher, Ritika Bhawal, P. Ranke, Zemirah Gonzales-Lee, Tyler E. Smith

{"title":"PERSON-CENTERED CARE STARTS IN THE CLASSROOM: AN ACADEMIC JOURNEY OF REFINING CURRICULUM AND CULTURE","authors":"G. McNeal, Christy Schumacher, Ritika Bhawal, P. Ranke, Zemirah Gonzales-Lee, Tyler E. Smith","doi":"10.5750/ijpcm.v10i3.1065","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i3.1065","url":null,"abstract":"Background: Person-centered health care is becoming the norm which has prompted a need for educating academic and health care professionals upstream to embed this culture and philosophy in graduates prior to beginning their role in a professional health care setting. The Planetree International Certification for Excellence in Person-Centered Care is recognized as the highest mark of achievement an organization can earn, demonstrating a commitment to include patients, families, staff, and the community in the planning process to improve overall health and well-being. Previously the Planetree certification had been reserved for health care enterprises. This article highlights the journey of the first academic institution to achieve the Planetree Silver Certification level of recognition.Methods: Gap analyses of curriculum, culture, operations, student resources, and data for evidence-based evaluation were systematically undertaken.Results: After 18 months of collaboration, multiple site visits by Planetree leaders, and the compilation of a 550+ page self-study detailing the methodology used to address each Planetree standard of person centeredness, the National University, former School of Health and Human Services achieved the level of Planetree Certified Silver recognition.Conclusions: Achieving sustained success remains a continuum of efforts and embraces the journey to the destination while celebrating successes along the way. Early faculty engagement and “grass roots” efforts were sought to lead the National University former School of Health and Human Services toward the first-of-a-kind academic Planetree Silver Certification. Efforts are underway in seeking the Planetree Gold Certification level.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89486144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CASE REPORT: PERSON-CENETRED CARE AT END OF LIFE – A PHYSICIAN’S ROLE IN GUIDING PATIENT’S CARE 病例报告:生命末期以人为中心的护理——医生在指导病人护理中的作用

International journal of person centered medicine Pub Date : 2022-10-13 DOI: 10.5750/ijpcm.v10i3.1067

Natalie Su Quin Ng

引用次数: 0

NURSES’ CONCEPTIONS OF OLDER PEOPLE’S PARTICIPATION IN COORDINATED DISCHARGE CARE PLANNING 护士对老年人参与协调出院护理计划的看法

International journal of person centered medicine Pub Date : 2022-09-12 DOI: 10.5750/ijpcm.v10i2.1057

C. Sällström, Inger Johansson

{"title":"NURSES’ CONCEPTIONS OF OLDER PEOPLE’S PARTICIPATION IN COORDINATED DISCHARGE CARE PLANNING","authors":"C. Sällström, Inger Johansson","doi":"10.5750/ijpcm.v10i2.1057","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i2.1057","url":null,"abstract":"The discharge care planning (DCP) from hospital to home care is a complex and challenging assignment. Patient participation includes their access to health care, their rights to safe care, information about risks and benefits of treatment and the right to complain. The aim of the study was to explore nurses’ conceptions of older people’s participation in DCP and to identify the structure of awareness underlying the nurses’ varying experiences of participation. Fifteen registered nurses were interviewed. A phenomenographic analysis described by Åkerlind was used. The analysis revealed five categories of description showing different ways of experiencing older people’s participation in DCP. Four themes of Expanding awareness were identified as; Taking on the role of patient advocacy; Ethical responsibilities to protect older people’s self-esteem; Being restricted in what to communicate and perform and Necessity to conspire in defending active participation. The outcome space showed nurses’ conceptions to be that older people’s participation is prerequisite and it needs to be well founded. It also showed that nurses understood and took on ethical responsibilities to protect older people’s self-esteem. Our findings have outlined the complexity in the process of discharge planning, and consider the older patients’ active participation in decisions. Nurses have a key role in supporting older people and their family members in the process.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"311 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78368815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PERSON CENTERED MEDICINE AND DIGITAL HEALTH: ARE THEY COMPATIBLE? 以人为本的医疗和数字健康:它们兼容吗?

International journal of person centered medicine Pub Date : 2022-09-12 DOI: 10.5750/ijpcm.v10i2.1058

P. Glare

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EMPIRICAL COMPARISON OF ICD-10, DSM-IV, K-SADS, AND IGDA IN CHILD PSYCHIATRY CLINICAL PRACTICE icd-10、dsm-iv、k - sad和igda在儿童精神病学临床实践中的实证比较

International journal of person centered medicine Pub Date : 2022-09-12 DOI: 10.5750/ijpcm.v10i2.1055

Diego AH Ortega dos Santos, Rosana Kesrouani Gazzola, Eloisa HR Valler Celeri, Claudio EM Banzato

{"title":"EMPIRICAL COMPARISON OF ICD-10, DSM-IV, K-SADS, AND IGDA IN CHILD PSYCHIATRY CLINICAL PRACTICE","authors":"Diego AH Ortega dos Santos, Rosana Kesrouani Gazzola, Eloisa HR Valler Celeri, Claudio EM Banzato","doi":"10.5750/ijpcm.v10i2.1055","DOIUrl":"https://doi.org/10.5750/ijpcm.v10i2.1055","url":null,"abstract":"Background: Diagnostic systems and guidelines remain crucial in psychiatric practice regardless of their limitations. However, some models fall short in considering the narrative or idiographic dimension of problems brought by patients, which often deepens the distance between diagnosis and clinical decision-making while also emphasizing the disorder and not the individual. Treatment and intervention are strongly related to values, goals and skills, which are only elicited through a person-centered approach and attention to narratives. This broad context is particularly relevant in child psychiatry, where disorders have a strong developmental dimension, and several sources of information are necessary to formulate a diagnosis properly. \u0000Objectives: To compare diagnostic systems in child psychiatry case formulation, discussing the narrative dimension in the IGDA. \u0000Method: Ten school-aged children and their parents were interviewed in-depth. Each case diagnosis was formulated according to the directives in DSM-IV, ICD-10, K-SADS-PL, and IGDA. \u0000Results: The narrative dimension in IGDA brought up unique characteristics of each case that facilitate decision-making, acknowledging the patient’s positive aspects that may be relevant to treatment and recovery. \u0000Discussion and Conclusions: The narrative dimension of diagnostic formulations, alongside the categorial one, is likely to be helpful in a person-centered psychiatric practice, and child psychiatry may benefit greatly.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73727790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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MONTEVIDEO DECLARATION 2020 蒙得维的亚宣言2020

International journal of person centered medicine Pub Date : 2022-09-12 DOI: 10.5750/ijpcm.v10i2.1059

J. Mezzich

引用次数: 0