{"title":"伊朗患者中以患者为中心的慢性病护理：家长制的可接受性作为一个独特的特征","authors":"Mohsen Khosravi, Payam Shojaei, Zahra Kavosi, Ramin Ravangard, Ehsan Shamsi Gooshki, Milad Ahmadi Marzaleh, Sajad Delavari","doi":"10.1111/jep.70073","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Rationale</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Aims and Objectives</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Patient-Centered Care in Chronic Diseases Among Iranian Patients: The Acceptability of Paternalism as a Distinctive Feature\",\"authors\":\"Mohsen Khosravi, Payam Shojaei, Zahra Kavosi, Ramin Ravangard, Ehsan Shamsi Gooshki, Milad Ahmadi Marzaleh, Sajad Delavari\",\"doi\":\"10.1111/jep.70073\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Rationale</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Aims and Objectives</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>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. 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引用次数: 0
摘要
在癌症、糖尿病、中风和心脏病等慢性疾病的管理中，以患者为中心的研究日益突出。这种方法在慢性疾病管理中涉及各种维度和要素，其重要性已被提出不同。本研究于2023年开展，旨在确定以患者为中心的慢性病护理的现有维度和要素，并对其进行优先排序。方法首先对Cochrane Database of Systematic Reviews、Scopus、PubMed、ProQuest等数据库进行检索。其次，对35例慢性患者进行访谈；最后，由30名熟悉相关背景的专家组成的样本被要求使用最佳最差方法对以患者为中心的护理的维度和要素进行排名。结果本研究确定了以患者为中心的慢性病护理的6个维度和13个要素。研究结果表明，可及性、质量、教育、及时性和可负担性是设计和实施以患者为中心的慢性病护理干预措施最重要的五个要素。结论伊朗籍慢性疾病患者对家长式行为表现出积极的态度，往往倾向于他人为自己做出最佳的治疗决定。我们的研究表明，以患者为中心的护理理念在不同的地区和文化中有所不同，这突出了政策制定者和研究人员需要根据全球各地当地人口的具体特征调整策略。
Patient-Centered Care in Chronic Diseases Among Iranian Patients: The Acceptability of Paternalism as a Distinctive Feature
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.
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.
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