Patient-Centered Care for Older Adults with Multiple Chronic Conditions: These are the Polypathological Patients!

2013 ◽  
Vol 61 (3) ◽  
pp. 475-476 ◽  
Author(s):  
Máximo Bernabeu-Wittel ◽  
Manuel Ollero-Baturone ◽  
Dolores Nieto-Martín ◽  
Salvador García-Morillo ◽  
Juan Goicoechea-Salazar
Keyword(s):  
Older Adults ◽  
Chronic Conditions ◽  
Patient Centered Care ◽  
Multiple Chronic Conditions ◽  
Patient Centered ◽  
Centered Care

GPS' PERCEPTION OF THE PATIENT ORIENTED INTERVENTIONS AS KEY ELEMENTS OF PATIENT CENTRED CARE FOR PEOPLE WITH MULTIMORBIDITY.pdf

2018 ◽  
Vol 28 (2) ◽  
pp. 561-565
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva
Keyword(s):  
Chronic Conditions ◽  
Patient Centered Care ◽  
Self Management ◽  
Multiple Chronic Conditions ◽  
Positive Health ◽  
Patient Centered ◽  
Effective Response ◽  
Patient Centred Care ◽  
Centered Care ◽  
Health Related

Background: Patients with multimorbidity represent a significant portion of the primary healthcare population. For healthcare providers, managing patients with multiple chronic conditions represents a challenge given the complexity and the intensity of interventions. Integrated and patient-centered care is considered an effective response to the needs of people who suffer from multiple chronic conditions. According to the literature providing patient-centered care is one of the most important interventions in terms of positive health-related outcomes for patients with multimorbidity.Aim: The aim of the study is to evaluate the GPs’ perception of patient oriented interventions as key elements of patient centred care for patients with multimorbidity.Material and methods: A cross-sectional pilot study was conducted among randomly selected 73 GPs. A direct individual anonymous survey was performed to explore the opinion of respondents about the importance of two patient-oriented interventions, each one including specific elements of patient-centered care for patients with multimorbidity. The tool was developed as a result of the scoping review performed by Smith et al. (2012;2016). A 5-point Likert scale (0-not at all, 1-little, 2-rather, 3-much, 4-very strong) was used. The data were analysed using descriptive statistics. In processing the data, the software product for statistical analyses - SPSS version 17 was performed for Windows XP.Results: Our results show that both categories - providing patient-oriented approach and self-management support interventions were highly accessed by the respondents. The most frequent categories of interventions identified in our study were Creating individualized and adapted interventions, Performing regular contacts and Reinforcing adherence. Less frequently reported elements such as Considering relatives’ needs and Developing self-management plan are still underestimated by the Bulgarian GPs.Conclusions: The acceptance and understanding of innovative patient-centered interventions adapted to patients with multimorbidity could be accepted as a good indicator for improving health-related outcomes and care for patients with multiple chronic conditions.

scholarly journals Using Online Health Communities to Deliver Patient-Centered Care to People With Chronic Conditions

2013 ◽  
Vol 15 (6) ◽  
pp. e115 ◽  
Author(s):  
Martijn van der Eijk ◽  
Marjan J Faber ◽  
Johanna WM Aarts ◽  
Jan AM Kremer ◽  
Marten Munneke ◽  
...  
Keyword(s):  
Chronic Conditions ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Online Health Communities ◽  
Centered Care ◽  
Health Communities

scholarly journals The Patient-Centered Care and Receipt of Preventive Services Among Older Adults With Chronic Diseases: A Nationwide Cross-sectional Study

2017 ◽  
Vol 54 ◽  
pp. 004695801772400
Author(s):  
Hailun Liang ◽  
Junya Zhu ◽  
Xiangrong Kong ◽  
May A. Beydoun ◽  
Jennifer A. Wenzel ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Medical Expenditure Panel Survey ◽  
Preventive Services ◽  
Patient Centered Care ◽  
Medical Expenditure ◽  
Outcome Variable ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care

This article investigates the associations between the patient-centered care (PCC) and receipt of preventive services among older adults with chronic diseases. Data were derived from the nationally representative Medical Expenditure Panel Survey. The full-year consolidated data files from 2009 to 2013 were pooled to yield a final analytic sample (N = 16 654). Study outcomes included the receipt of 7 types of preventive screenings and 2 types of health education services. Patients’ PCC groups were categorized as PCC, partial PCC, and non-PCC, based on 9 questions classified under the 3 distinctive attributes of PCC—whole-person care, patient engagement, and enhanced access to care. Prevalence rates for each outcome variable were calculated. We estimated odds ratios from multiple logistic regressions, comparing the likelihood of outcome variables across 3 groups of patients. Adjusting for covariates, the PCC group was more likely than the non-PCC group to receive 8 types of preventive services. The partial PCC group had a greater likelihood than the non-PCC group of receiving 7 types of preventive services. Our study reveals significant associations between PCC and receipt of preventive services. PCC has demonstrated the potential to improve preventive care for older adults with chronic diseases.

scholarly journals Patient-Centered Outcomes Research and Patient-Centered Care for Older Adults

2017 ◽  
Vol 3 ◽  
pp. 233372141770075 ◽  
Author(s):  
Ravishankar Jayadevappa
Keyword(s):  
Older Adults ◽  
Outcomes Research ◽  
Well Being ◽  
Clinical Decision ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Health Decision ◽  
Centered Care ◽  
Value Based Care

Patient-centered care that reflects consumer-driven health care decision of an individual as opposed to collective or social choice–based health decision has many implications for clinical decision and resource allocation. With possession of required information and faced with appropriate assessment of preferences, older adults make better choices for their own health. However, one must acknowledge that patient-centered approach for older adults should effectively integrate tenets of value-based care to improve overall quality of care and societal well-being. In this perspective, I present the importance and challenges of patient-centered care and patient-centered outcomes research among older adults.

scholarly journals Mapping the Patient Journey Across the Continuum: Lessons Learned From One Patient’s Experience

2018 ◽  
Vol 6 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Melanie A Meyer
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Patient Centered Care ◽  
Communication Process ◽  
Care Process ◽  
Multiple Chronic Conditions ◽  
Patient Centered ◽  
Patient Journey ◽  
Centered Care ◽  
The Continuum

Patient-centered care is essential for achieving high-quality and cost-effective health care. This is particularly important for patients with chronic or complex conditions who utilize more health-care services and require comprehensive care coordination. This case report draws on a longitudinal journey map—a valuable tool to capture patient experience and inform the care process—for a patient with multiple chronic conditions who needed a hip replacement. An analysis of the patient journey revealed 3 critical needs for a more patient-centered process: (1) making the patient health goal visible; (2) instigating transparent, shared decision-making; and (3) using a closed-loop communication process. Although key challenges exist, systems can facilitate more patient-centered care enabling health-care organizations to improve the patient experience across the continuum and provide higher quality care.

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