Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment
Flora Tzelepis, Robert W Sanson-Fisher, Alison C Zucca, Elizabeth A FradgleyPriority Research Centre for Health Behaviour, University of Newcastle and Hunter Medical Research Institute, Newcastle, NSW, AustraliaPurpose: The Institute of Medicine (IOM) identified patient-centeredness as crucial to qu...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2015-06-01
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| Series: | Patient Preference and Adherence |
| Online Access: | http://www.dovepress.com/measuring-the-quality-of-patient-centered-care-why-patient-reported-me-peer-reviewed-article-PPA |
| _version_ | 1818570628496621568 |
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| author | Tzelepis F Sanson-Fisher RW Zucca AC Fradgley EA |
| author_facet | Tzelepis F Sanson-Fisher RW Zucca AC Fradgley EA |
| author_sort | Tzelepis F |
| collection | DOAJ |
| description | Flora Tzelepis, Robert W Sanson-Fisher, Alison C Zucca, Elizabeth A FradgleyPriority Research Centre for Health Behaviour, University of Newcastle and Hunter Medical Research Institute, Newcastle, NSW, AustraliaPurpose: The Institute of Medicine (IOM) identified patient-centeredness as crucial to quality health care. The IOM endorsed six patient-centeredness dimensions that stipulated that care must be: respectful to patients’ values, preferences, and expressed needs; coordinated and integrated; provide information, communication, and education; ensure physical comfort; provide emotional support; and involve family and friends. Patient-reported measures examine the patient’s perspective and are essential to the accurate assessment of patient-centered care. This article’s objectives are to: 1) use the six IOM-endorsed patient-centeredness dimensions as a framework to outline why patient-reported measures are crucial to the reliable measurement of patient-centered care; and 2) to identify existing patient-reported measures that assess each patient-centered care dimension.Methods: For each IOM-endorsed patient-centeredness dimension, the published literature was searched to highlight the essential role of patients in assessing patient-centered care and informing quality improvement efforts. Existing literature was also searched to identify examples of patient-reported measures that assess each patient-centeredness dimension.Conclusion: Patient-reported measures are arguably the best way to measure patient-centeredness. For instance, patients are best positioned to determine whether care aligns with patient values, preferences, and needs and the Measure of Patient Preferences is an example of a patient-reported measure that does so. Furthermore, only the patient knows whether they received the level of information desired, and if information was understood and can be recalled. Patient-reported measures that examine information provision include the Lung Information Needs Questionnaire and the EORTC QLQ-INFO25. In relation to physical comfort, only patients can report the severity of physical symptoms and whether medications provide adequate relief. Patient-reported measures that investigate physical comfort include the Pain Care Quality Survey and the Brief Pain Inventory. Using patient-reported measures to regularly measure patient-centered care is critical to identifying areas of health care where improvements are needed.Keywords: patient-centered care, quality of care, quality assessment, patient-reported measures |
| first_indexed | 2024-12-14T13:44:27Z |
| format | Article |
| id | doaj.art-59f6dafe1602454b98b6fca5bda2a0d2 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-14T13:44:27Z |
| publishDate | 2015-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-59f6dafe1602454b98b6fca5bda2a0d22022-12-21T22:59:22ZengDove Medical PressPatient Preference and Adherence1177-889X2015-06-012015default83183522300Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessmentTzelepis FSanson-Fisher RWZucca ACFradgley EAFlora Tzelepis, Robert W Sanson-Fisher, Alison C Zucca, Elizabeth A FradgleyPriority Research Centre for Health Behaviour, University of Newcastle and Hunter Medical Research Institute, Newcastle, NSW, AustraliaPurpose: The Institute of Medicine (IOM) identified patient-centeredness as crucial to quality health care. The IOM endorsed six patient-centeredness dimensions that stipulated that care must be: respectful to patients’ values, preferences, and expressed needs; coordinated and integrated; provide information, communication, and education; ensure physical comfort; provide emotional support; and involve family and friends. Patient-reported measures examine the patient’s perspective and are essential to the accurate assessment of patient-centered care. This article’s objectives are to: 1) use the six IOM-endorsed patient-centeredness dimensions as a framework to outline why patient-reported measures are crucial to the reliable measurement of patient-centered care; and 2) to identify existing patient-reported measures that assess each patient-centered care dimension.Methods: For each IOM-endorsed patient-centeredness dimension, the published literature was searched to highlight the essential role of patients in assessing patient-centered care and informing quality improvement efforts. Existing literature was also searched to identify examples of patient-reported measures that assess each patient-centeredness dimension.Conclusion: Patient-reported measures are arguably the best way to measure patient-centeredness. For instance, patients are best positioned to determine whether care aligns with patient values, preferences, and needs and the Measure of Patient Preferences is an example of a patient-reported measure that does so. Furthermore, only the patient knows whether they received the level of information desired, and if information was understood and can be recalled. Patient-reported measures that examine information provision include the Lung Information Needs Questionnaire and the EORTC QLQ-INFO25. In relation to physical comfort, only patients can report the severity of physical symptoms and whether medications provide adequate relief. Patient-reported measures that investigate physical comfort include the Pain Care Quality Survey and the Brief Pain Inventory. Using patient-reported measures to regularly measure patient-centered care is critical to identifying areas of health care where improvements are needed.Keywords: patient-centered care, quality of care, quality assessment, patient-reported measureshttp://www.dovepress.com/measuring-the-quality-of-patient-centered-care-why-patient-reported-me-peer-reviewed-article-PPA |
| spellingShingle | Tzelepis F Sanson-Fisher RW Zucca AC Fradgley EA Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment Patient Preference and Adherence |
| title | Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment |
| title_full | Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment |
| title_fullStr | Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment |
| title_full_unstemmed | Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment |
| title_short | Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment |
| title_sort | measuring the quality of patient centered care why patient reported measures are critical to reliable assessment |
| url | http://www.dovepress.com/measuring-the-quality-of-patient-centered-care-why-patient-reported-me-peer-reviewed-article-PPA |
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