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Diversity of interpretations of the concept “patient‐centered care for breast cancer patients”; a scoping review of current literature

RATIONALE, AIMS AND OBJECTIVES: Patient‐centered care is considered a vital component of good quality care for breast cancer patients. Nevertheless, the implementation of this valuable concept in clinical practice appears to be difficult. The goal of this study is to bridge the gap between theoretic...

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Autores principales: Pel, Elise, Engelberts, Ingeborg, Schermer, Maartje
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9788211/
https://www.ncbi.nlm.nih.gov/pubmed/34002460
http://dx.doi.org/10.1111/jep.13584
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author Pel, Elise
Engelberts, Ingeborg
Schermer, Maartje
author_facet Pel, Elise
Engelberts, Ingeborg
Schermer, Maartje
author_sort Pel, Elise
collection PubMed
description RATIONALE, AIMS AND OBJECTIVES: Patient‐centered care is considered a vital component of good quality care for breast cancer patients. Nevertheless, the implementation of this valuable concept in clinical practice appears to be difficult. The goal of this study is to bridge the gap between theoretical elaboration of “patient‐centered care” and clinical practice. To that purpose, a scoping analysis was performed of the application of the term “patient‐centered care in breast cancer treatment” in present‐day literature. METHOD: For data‐extraction, a literature search was performed extracting references that were published in 2018 and included the terms “patient‐centered care” and “breast cancer”. The articles were systematically traced for answers to the following three questions: “What is patient‐centered care?”, “Why perform patient‐centered care?”, and “How to realize patient‐centered care?”. For the content analysis, these answers were coded and assembled into meaningful clusters until separate themes arose which concur with various interpretations of the term “patient‐centered care”. RESULTS: A total of 60 publications were retained for analysis. Traced answers to the three questions “what”, “why”, and “how” varied considerably in recent literature concerning breast cancer treatment. Despite the inconsistent use of the term “patient‐centered care,” we did not find any critical consideration about the nature of the concept, regardless of the applied interpretation. Interventions that are supposed to contribute to the heterogeneous concept of patient‐centered care as such, seem to be judged desirable, virtually without empirical justification. CONCLUSIONS: We propose, contrary to previous efforts to define “patient‐centered care” more accurately, to embrace the heterogeneity of the concept and apply “patient‐centered care” as an umbrella‐term for all healthcare that intends to contribute to the acknowledgement of the person in the patient. For the justification of measures to realize patient‐centered care for breast cancer patients, instead of a mere contribution to the abstract concept, we insist on the demonstration of desirable real‐world effects.
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spelling pubmed-97882112022-12-28 Diversity of interpretations of the concept “patient‐centered care for breast cancer patients”; a scoping review of current literature Pel, Elise Engelberts, Ingeborg Schermer, Maartje J Eval Clin Pract Original Papers RATIONALE, AIMS AND OBJECTIVES: Patient‐centered care is considered a vital component of good quality care for breast cancer patients. Nevertheless, the implementation of this valuable concept in clinical practice appears to be difficult. The goal of this study is to bridge the gap between theoretical elaboration of “patient‐centered care” and clinical practice. To that purpose, a scoping analysis was performed of the application of the term “patient‐centered care in breast cancer treatment” in present‐day literature. METHOD: For data‐extraction, a literature search was performed extracting references that were published in 2018 and included the terms “patient‐centered care” and “breast cancer”. The articles were systematically traced for answers to the following three questions: “What is patient‐centered care?”, “Why perform patient‐centered care?”, and “How to realize patient‐centered care?”. For the content analysis, these answers were coded and assembled into meaningful clusters until separate themes arose which concur with various interpretations of the term “patient‐centered care”. RESULTS: A total of 60 publications were retained for analysis. Traced answers to the three questions “what”, “why”, and “how” varied considerably in recent literature concerning breast cancer treatment. Despite the inconsistent use of the term “patient‐centered care,” we did not find any critical consideration about the nature of the concept, regardless of the applied interpretation. Interventions that are supposed to contribute to the heterogeneous concept of patient‐centered care as such, seem to be judged desirable, virtually without empirical justification. CONCLUSIONS: We propose, contrary to previous efforts to define “patient‐centered care” more accurately, to embrace the heterogeneity of the concept and apply “patient‐centered care” as an umbrella‐term for all healthcare that intends to contribute to the acknowledgement of the person in the patient. For the justification of measures to realize patient‐centered care for breast cancer patients, instead of a mere contribution to the abstract concept, we insist on the demonstration of desirable real‐world effects. John Wiley and Sons Inc. 2021-05-17 2022-10 /pmc/articles/PMC9788211/ /pubmed/34002460 http://dx.doi.org/10.1111/jep.13584 Text en © 2021 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Papers
Pel, Elise
Engelberts, Ingeborg
Schermer, Maartje
Diversity of interpretations of the concept “patient‐centered care for breast cancer patients”; a scoping review of current literature
title Diversity of interpretations of the concept “patient‐centered care for breast cancer patients”; a scoping review of current literature
title_full Diversity of interpretations of the concept “patient‐centered care for breast cancer patients”; a scoping review of current literature
title_fullStr Diversity of interpretations of the concept “patient‐centered care for breast cancer patients”; a scoping review of current literature
title_full_unstemmed Diversity of interpretations of the concept “patient‐centered care for breast cancer patients”; a scoping review of current literature
title_short Diversity of interpretations of the concept “patient‐centered care for breast cancer patients”; a scoping review of current literature
title_sort diversity of interpretations of the concept “patient‐centered care for breast cancer patients”; a scoping review of current literature
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9788211/
https://www.ncbi.nlm.nih.gov/pubmed/34002460
http://dx.doi.org/10.1111/jep.13584
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