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Which Dimensions of Patient-Centeredness Matter? - Results of a Web-Based Expert Delphi Survey

BACKGROUND: Present models and definitions of patient-centeredness revealed a lack of conceptual clarity. Based on a prior systematic literature review, we developed an integrative model with 15 dimensions of patient-centeredness. The aims of this study were to 1) validate, and 2) prioritize these d...

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Autores principales: Zill, Jördis M., Scholl, Isabelle, Härter, Martin, Dirmaier, Jörg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635011/
https://www.ncbi.nlm.nih.gov/pubmed/26539990
http://dx.doi.org/10.1371/journal.pone.0141978
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author Zill, Jördis M.
Scholl, Isabelle
Härter, Martin
Dirmaier, Jörg
author_facet Zill, Jördis M.
Scholl, Isabelle
Härter, Martin
Dirmaier, Jörg
author_sort Zill, Jördis M.
collection PubMed
description BACKGROUND: Present models and definitions of patient-centeredness revealed a lack of conceptual clarity. Based on a prior systematic literature review, we developed an integrative model with 15 dimensions of patient-centeredness. The aims of this study were to 1) validate, and 2) prioritize these dimensions. METHOD: A two-round web-based Delphi study was conducted. 297 international experts were invited to participate. In round one they were asked to 1) give an individual rating on a nine-point-scale on relevance and clarity of the dimensions, 2) add missing dimensions, and 3) prioritize the dimensions. In round two, experts received feedback about the results of round one and were asked to reflect and re-rate their own results. The cut-off for the validation of a dimension was a median < 7 on one of the criteria. RESULTS: 105 experts participated in round one and 71 in round two. In round one, one new dimension was suggested and included for discussion in round two. In round two, this dimension did not reach sufficient ratings to be included in the model. Eleven dimensions reached a median ≥ 7 on both criteria (relevance and clarity). Four dimensions had a median < 7 on one or both criteria. The five dimensions rated as most important were: patient as a unique person, patient involvement in care, patient information, clinician-patient communication and patient empowerment. DISCUSSION: 11 out of the 15 dimensions have been validated through experts’ ratings. Further research on the four dimensions that received insufficient ratings is recommended. The priority order of the dimensions can help researchers and clinicians to focus on the most important dimensions of patient-centeredness. Overall, the model provides a useful framework that can be used in the development of measures, interventions, and medical education curricula, as well as the adoption of a new perspective in health policy.
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spelling pubmed-46350112015-11-13 Which Dimensions of Patient-Centeredness Matter? - Results of a Web-Based Expert Delphi Survey Zill, Jördis M. Scholl, Isabelle Härter, Martin Dirmaier, Jörg PLoS One Research Article BACKGROUND: Present models and definitions of patient-centeredness revealed a lack of conceptual clarity. Based on a prior systematic literature review, we developed an integrative model with 15 dimensions of patient-centeredness. The aims of this study were to 1) validate, and 2) prioritize these dimensions. METHOD: A two-round web-based Delphi study was conducted. 297 international experts were invited to participate. In round one they were asked to 1) give an individual rating on a nine-point-scale on relevance and clarity of the dimensions, 2) add missing dimensions, and 3) prioritize the dimensions. In round two, experts received feedback about the results of round one and were asked to reflect and re-rate their own results. The cut-off for the validation of a dimension was a median < 7 on one of the criteria. RESULTS: 105 experts participated in round one and 71 in round two. In round one, one new dimension was suggested and included for discussion in round two. In round two, this dimension did not reach sufficient ratings to be included in the model. Eleven dimensions reached a median ≥ 7 on both criteria (relevance and clarity). Four dimensions had a median < 7 on one or both criteria. The five dimensions rated as most important were: patient as a unique person, patient involvement in care, patient information, clinician-patient communication and patient empowerment. DISCUSSION: 11 out of the 15 dimensions have been validated through experts’ ratings. Further research on the four dimensions that received insufficient ratings is recommended. The priority order of the dimensions can help researchers and clinicians to focus on the most important dimensions of patient-centeredness. Overall, the model provides a useful framework that can be used in the development of measures, interventions, and medical education curricula, as well as the adoption of a new perspective in health policy. Public Library of Science 2015-11-05 /pmc/articles/PMC4635011/ /pubmed/26539990 http://dx.doi.org/10.1371/journal.pone.0141978 Text en © 2015 Zill et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Zill, Jördis M.
Scholl, Isabelle
Härter, Martin
Dirmaier, Jörg
Which Dimensions of Patient-Centeredness Matter? - Results of a Web-Based Expert Delphi Survey
title Which Dimensions of Patient-Centeredness Matter? - Results of a Web-Based Expert Delphi Survey
title_full Which Dimensions of Patient-Centeredness Matter? - Results of a Web-Based Expert Delphi Survey
title_fullStr Which Dimensions of Patient-Centeredness Matter? - Results of a Web-Based Expert Delphi Survey
title_full_unstemmed Which Dimensions of Patient-Centeredness Matter? - Results of a Web-Based Expert Delphi Survey
title_short Which Dimensions of Patient-Centeredness Matter? - Results of a Web-Based Expert Delphi Survey
title_sort which dimensions of patient-centeredness matter? - results of a web-based expert delphi survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635011/
https://www.ncbi.nlm.nih.gov/pubmed/26539990
http://dx.doi.org/10.1371/journal.pone.0141978
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