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Physiother Theory Pract. 2017 Nov;33(11):825-840. doi: 10.1080/09593985.2017.1357151. Epub 2017 Aug 18.

Patient-centeredness in physiotherapy: What does it entail? A systematic review of qualitative studies.

Author information

1
a Department of Physiotherapy , Human Physiology and Anatomy, Vrije Universiteit Brussel , Brussels , Belgium.
2
b Transcare, Transdisciplinary Outpatient Treatment Centre , Groningen , The Netherlands.
3
c Pain in Motion International Research Group , Brussels , Belgium.
4
d Department of physiotherapy , Fysio Stiens , Stiens , The Netherlands.
5
e Faculty of Health Psychology and Social Care, Manchester Metropolitan University , Manchester , UK.
6
f UMC Utrecht Cancer Center, University Medical Centre Utrecht , Utrecht , The Netherlands.
7
g Department of Physiotherapy , Hanze University of Applied Sciences, School of Health Studies , Groningen , The Netherlands.

Abstract

PURPOSE:

The literature review is aimed at examining and summarizing themes related to patient-centeredness identified in qualitative research from the perspectives of patients and physiotherapists. Following the review, a secondary aim was to synthesize the themes to construct a proposed conceptual framework for utilization within physiotherapy.

METHODS:

A systematic search of qualitative studies was conducted including all articles up to 2015 September. Methodological quality was examined with a checklist. The studies were examined for themes suggestive of the practice of patient centeredness from perspective of the therapists and/or the patients. Data were extracted using a data extraction form and analyzed following "thematic synthesis."

RESULTS:

Fourteen articles were included. Methodological quality was high in five studies. Eight major descriptive themes and four subthemes (ST) were identified. The descriptive themes were: individuality (ST "Getting to know the patient" and ST "Individualized treatment"), education, communication (ST "Non-verbal communication"), goal setting, support (ST "Empowerment"), social characteristics of a patient-centered physiotherapist, a confident physiotherapist, and knowledge and skills of a patient-centered physiotherapist.

CONCLUSIONS:

Patient-centeredness in physiotherapy entails the characteristics of offering an individualized treatment, continuous communication (verbal and non-verbal), education during all aspects of treatment, working with patient-defined goals in a treatment in which the patient is supported and empowered with a physiotherapist having social skills, being confident and showing specific knowledge.

KEYWORDS:

Models (theoretical); patient-centered care; physiotherapy; qualitative research; qualitative review; review

PMID:
28820617
DOI:
10.1080/09593985.2017.1357151
[Indexed for MEDLINE]

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