Patient-centered care and communication in primary care practice: what is involved?

2005 ◽  
Vol 58 (3) ◽  
pp. 296-304 ◽  
Author(s):  
Virginia Aita ◽  
Helen McIlvain ◽  
Elisabeth Backer ◽  
Kristine McVea ◽  
Benjamin Crabtree
Keyword(s):  
Primary Care ◽  
Primary Care Practice ◽  
Patient Centered Care ◽  
Care Practice ◽  
Patient Centered ◽  
Centered Care

scholarly journals Soldier-Centered Care: A Concept Analysis

2020 ◽  
Vol 185 (3-4) ◽  
pp. e422-e430
Author(s):  
Tanekkia M Taylor-Clark ◽  
Patricia A Patrician
Keyword(s):  
Primary Care ◽  
Physical Performance ◽  
Patient Centered Care ◽  
Concept Analysis ◽  
Medical Department ◽  
Patient Centered ◽  
Medical Needs ◽  
Leadership Support ◽  
Centered Care ◽  
The U.S

Abstract Introduction It is critical for the U.S. Army Medical Department to acknowledge the distinctive medical needs of soldiers and conceptualize soldier-centered care as a unique concept. In addition to the nationally recognized standards of patient-centered care, soldier-centered care includes provisions for the priorities of soldier health and wellness, injury prevention, illness and injury management, and the preservation of physical performance and medical readiness. The development of soldier-centered care as a distinctive concept may strengthen the evidence base for interventions that support improvements to soldier care and thus, enhance health outcomes specific to soldiers. The purpose of this article is to analyze the concept of soldier-centered care, clarify the meaning of soldier-centered care, and propose a theoretical definition. Methods Rodgers’ evolutionary concept analysis method was used to search and analyze the literature for related terms, attributes, antecedents, and consequences and to create a theoretical definition for soldier-centered care. Results The results of this concept analysis indicated that soldier-centered care is realized through the presence of nine attributes: operational alignment of care, provider and support staff therapeutic competence, management of transitions and care coordination, technology and accessibility, management of limited and lost work days, trust and expectation management, leadership support, continuity, and access to care. Soldier-centered care is focused on health and wellness promotion, disease and injury prevention, and early diagnosis and treatment of acute injuries in the primary care setting to facilitate timely injury recovery, reduce reinjury, and prevent long-term disabilities. The result of soldier-centered care is enhanced physical performance, medical readiness, and deployability for soldiers. Based on the literature analysis, the following theoretical definition of soldier-centered care is proposed: Soldier-centered care is individualized, comprehensive healthcare tailored to the soldier’s unique medical needs delivered by a care team of competent primary care providers and support staff who prioritize trust and expectation management, operational alignment of care, leadership support, care coordination, and the management of limited and lost workdays through the use of evidence-based practice approaches that employ innovative information technology to balance access to care and continuity. Conclusions The concept of soldier-centered care often emerges in discussions about optimal physical performance and medical readiness for soldiers. Although soldier-centered care and patient-centered care have similar conceptual underpinning, it is important to clarify the unique physical and medical requirements for soldiers that differentiate soldier-centered care from patient-centered care. Implementing the defining attributes of soldier-centered care in the U.S. Army primary care setting may improve the quality of care and health outcomes for soldiers. When defining performance metrics for primary care models of care, the U.S. Army Medical Department must consider assessing outcomes specific to the soldier population. Developing empirical indicators for the attributes of soldier-centered care will support meaningful testing of the concept.

scholarly journals Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

2016 ◽  
Vol 16 (8) ◽  
pp. 770-776 ◽  
Author(s):  
Sara L. Toomey ◽  
Marc N. Elliott ◽  
David C. Schwebel ◽  
Susan R. Tortolero ◽  
Paula M. Cuccaro ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Adolescent Report ◽  
Quality Of Primary Care ◽  
Centered Care

scholarly journals The Learners' Perceptions Survey—Primary Care: Assessing Resident Perceptions of Internal Medicine Continuity Clinics and Patient-Centered Care

2013 ◽  
Vol 5 (4) ◽  
pp. 587-593 ◽  
Author(s):  
John M. Byrne ◽  
Barbara K. Chang ◽  
Stuart C. Gilman ◽  
Sheri A. Keitz ◽  
Catherine P. Kaminetzky ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Primary Care ◽  
Health Care Professionals ◽  
Clinical Training ◽  
Patient Centered Care ◽  
Family Centered Care ◽  
Patient Centered ◽  
Centered Care ◽  
The University ◽  
Family Centered

Abstract Background In 2010, the Department of Veterans Affairs (VA) implemented a national patient-centered care initiative that organized primary care into interdisciplinary teams of health care professionals to provide patient-centered, continuous, and coordinated care. Objective We assessed the discriminate validity of the Learners' Perceptions Survey—Primary Care (LPS-PC), a tool designed to measure residents' perceptions about their primary and patient-centered care experiences. Methods Between October 2010 and June 2011, the LPS-PC was administered to Loma Linda University Medical Center internal medicine residents assigned to continuity clinics at the VA Loma Linda Healthcare System (VALLHCS), a university setting, or the county hospital. Adjusted differences in satisfaction ratings across settings and over domains (patient- and family-centered care, faculty and preceptors, learning, clinical, work and physical environments, and personal experience) were computed using a generalized linear model. Results Our response rate was 86% (77 of 90). Residents were more satisfied with patient- and family-centered care at the VALLHCS than at either the university or county (P < .001). However, faculty and preceptors (odds ratio [OR]  =  1.53), physical (OR  =  1.29), and learning (OR  =  1.28) environments had more impact on overall resident satisfaction than patient- and family-centered care (OR  =  1.08). Conclusions The LPS-PC demonstrated discriminate validity to assess residents' perceptions of their patient-centered clinical training experience across outpatient primary care settings at an internal medicine residency program. The largest difference in scores was the patient- and family-centered care domain, in which residents rated the VALLHCS much higher than the university or county sites.

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