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Int J Qual Health Care. 2011 Oct;23(5):531-7. doi: 10.1093/intqhc/mzr058. Epub 2011 Aug 22.

Patient centredness and quality improvement efforts in hospitals: rationale, measurement, implementation.

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1
Department of Health Services Research & Policy, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK. oliver.groene@lshtm.ac.uk

Abstract

QUALITY PROBLEM:

Patient-centred care is increasingly being acknowledged as an integral part of evaluating health care. Yet, from a quality improvement perspective the rationale, measurement and implementation of strategies to improve patient-centred care is often subject to debate.

OBJECTIVE:

The aim of this paper is to review why quality improvement efforts should embrace patient-centredness, to examine some of the measurement issues and to assess conceptual underpinnings that should inform both measurement and actions to improve patient-centred care.

LESSONS:

The causal pathway through which quality improvement affects and/or is associated with patient centredness is complex and goes beyond patients' rights and assessing patient views. Interventions to improve patient-centred care should reflect on key rationale, measurement strategy and underlying theory.

PMID:
21862449
DOI:
10.1093/intqhc/mzr058
[Indexed for MEDLINE]
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