Opieka skoncentrowana na pacjencie – analiza modelu i rezultatów wdrożenia do systemu opieki zdrowotnej

Lucyna Ścisło; Iwona Bodys-Cupak; Maria  Kózka

Opieka skoncentrowana na pacjencie – analiza modelu i rezultatów wdrożenia do systemu opieki zdrowotnej

Data publikacji: 08.09.2022

Sztuka Leczenia, Tom 37 (2022), Tom 37, Numer 1, s. 33 - 41

https://doi.org/10.4467/18982026SZL.22.004.15995

Autorzy

Pobierz pełny tekst

PDF

drukuj

Tytuły

Opieka skoncentrowana na pacjencie – analiza modelu i rezultatów wdrożenia do systemu opieki zdrowotnej

Abstrakt

Model opieki skoncentrowanej na pacjencie – PCC (Patient-Centered Care) w wielu krajach został uznany za standardowe podejście w opiece zdrowotnej w celu poprawy jej jakości. Istotą PCC jest respektowanie wartości, doświadczeń, potrzeb i preferencji pacjenta w planowaniu, koordynowaniu i świadczeniu opieki. Centralnym elementem tego modelu jest relacja terapeutyczna między pacjentem a osobami świadczącymi opiekę zdrowotną. Liczne badania wykazały, że wdrożenie PCC do praktyki przyczynia się do poprawy wyników opieki, lepszego wykorzystania zasobów, obniżenia kosztów i zwiększenia zadowolenia pacjentów z opieki. Celem tego artykułu jest zaprezentowanie założeń modelu opieki skoncentrowanej na pacjencie, korzyści i barier we wdrażaniu do systemu opieki zdrowotnej.

ABSTRACT

The Patient-Centered Care (PCC) model has been recognised in many countries as a standard approach in healthcare to improve its quality. The essence of PCC is to respect the values, experiences, needs and preferences of the patient in planning, coordinating and providing care. Therapeutic relationship between the patient and the healthcare providers is at the core of this model. Numerous studies have shown that implementing PCC into the practice contributes to improved care results, better use of resources, lower costs and increased satisfaction of patients with healthcare. The aim of this article is to present the assumptions of the patient-centered care model as well as the benefits and barriers in implementing this model into the health care system.

Słowa kluczowe

opieka skoncentrowana na pacjencie, pielęgniarka/lekarz, pacjent; patient-centered care, nursing/physician, patient

patient-centered care, nursing/physician, patient

Bibliografia

Pobierz bibliografię

Australian Commission on Safety and Quality in Health Care (ACSQHC) (2010). Australian Safety and Quality Framework for Health Care, http:// www.safetyandquality.gov.au/wp-content/uploads/2012/04/Australian-SandQ Framework1.pdf (dostęp: 10.12.2021).

Barrio P., Gual A. (2016). Patient-centered care interventions for the management of alcohol use disorders: A systematic review of randomized controlled trials. Patient Prefer Adherence, 10, 1823–1845.

Bassuk E.L., Latta R.E., Sember R., Raja S., Richard M. (2017). Universal design for underserved populations: Person-centered, recovery-oriented and trauma informed. Journal of Health Care Poor Underserved, 28(3), 896–914.

Beaulieu MD. (2013). President’s message: Toward a patient-centred health care system. Canadian Family Physician Journal, 59(1), 109–110.

Boer J. den, Nieboer A.P., Cramm J.M. (2017). A cross-sectional study investigating patient-centred care, co-creation of care, well-being and job satisfaction among nurses. Journal of Nursing Management, 25(7), 577–584.

Brownie S., Nancarrow S. (2013). Effects of person-centered care on residents and staff in aged-care facilities: A systematic review. Clinical Interventions in Aging, 8, 1–10.

Chapman H. (2017). Nursing theories 1: Person-centred care. Nursing Times 113(10), 59, [online], https://chesterrep.openrepository.com/handle/10034/620759 (dostęp: 13.06.2022).

Cooper L.A., Ghods Dinoso B.K., Ford D.E., Roter D.L., Primm A.B., Larson S.M., Gill J.M., Noronha G.J., Shaya E.K., Wang N.Y. (2013). Comparative effectiveness of standard versus patient‐centered collaborative care interventions for depression among African Americans in primary care settings: The BRIDGE study. Health Services Research, 48(1), 150–174.

Cronin-Waelde D., Sbardella S. (2013). Patient centered transfer process for patients admitted through the ED boosts satisfaction, improves safety. ED Management, 24(2), 17–20.

Doyle C., Lennox L., Bell D. (2013). A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open, 3, 1–18.

Epstein R.M., Franks P., Fiscella K., Shields C.G., Meldrum S.C., Kravitz R.L., Duberstein P.R. (2005). Measuring patient-centered communication in patient-physician consultations: Theoretical and practical issues. Social Science & Medicine, 61–67, 1516–1528.

Esmaeili M., Cheraghi M.A., Salsali M. (2014). Barriers to patient-centered care: A thematic analysis study. International Journal of Nursing Knowledge, 25(1), 2–8.

Frank L., (2013). Person-centered care, autonomy, and the definition of health. The American Journal of Bioethics, 13(18), 59–61.

Friedrichs A., Spies M., Harter M., Buchholz A. (2016). Patient preferences and Shared Decision Making in the treatment of substance use disorders: A systematic review of the literature. PLoS One, 11(1), doi: 10.1371/journal.pone.0145817.

https://doi.org/10.1371/journal.pone.0145817.

Gerteis M., Edgman-Levitan S., Walker J.D., Stoke D.M., Cleary P.D., Delbanco T.L., (1993). What patients really want. Health Manag Q, 15(3), 2–6.

Gittell J.H. (2002). Relationships between service providers and their impact on customers. Journal of Service Research, 4(4), 299–311.

Gluyas H. (2015). Patient-centred care: Improving healthcare outcomes. Nursing Standard, 30(4), 50–57.

Harter M., van der Weijden T., Elwyn G. (2011). Policy and practice developments in the implementation of shared decision making: An international perspective. Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen, 105(4), 229–233.

Institute of Medicine (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press.

Jayadevappa R., Chatre S. (2011). Patient centered care: A conceptual model and review of the state of art. Open Health Services and Policy Journal, 4, 15–25.

Kiwanuka F., Shayan S.J., Tolulope A.A. (2019). Barriers to patient and family-centred care in adult intensive care units: A systematic review. Nursing Open, 6(3), 676–684.

Kuipers S.J., Cramm J.M., Nieboer A.P. (2019). The importance of patient-centered cre- and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. BMC Health Services Research 19,13. Published online 2019 Jan 8, doi: 10.1186/s12913-018-3818-y.

https://doi.org/10.1186/s12913-018-3818-y.

Lauver D.R., Ward S.E., Heidrich S.M., Keller M.L., Bowers B.J., Brennan P.F., Kirchhoff K.T., Wells T.J. (2002). Patient-centered interventions. Nursing Research Health, 25(4), 246–255.

Lloyd B., Elkins M., Innes L. (2018). Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers. Journal of Patient Experience, 5(3), 55–64.

Lusk J.M., Fater K. (2013). A concept analysis of patient-centered care. Nursing Forum, 48(2), 89–98.

Marchand K., Beaumont S., Westfall J., MacDonald S., Harrison S., Marsh, Schechter M.T., Oviedo-Joeke E. (2018). Patient-centred care for addiction treatment: A scoping review protocol. BMJ Open, 8(12), e024588.

McCance T., McCormack B., Dewing J. (2011). An exploration of person-centredness in practice. Online Journal of Issues in Nursing, 16(2), 1. PMID: 22088150.

McCormack B., Dewing J., McCance T. (2011). Developing person-centred care: Addressing contextual challenges through practice development. Online Journal of Issues in Nursing, 16(2), 3. PMID: 22088152.

McMillan S.S., Kendall E., Sav A., King M.A., Whitty J.A., Kelly F., Wheeler A.J. (2013). Patient-centered approaches to health care: A systematic review of randomised controlled trials. Medical Care Research and Review, 70(6), 567–596.

Mead N., Bower P. (2002). Patient-centred consultations and outcomes in primary care: A review of the literature. Patient Education and Counseling, 48, 51–61.

Merav N.B., Ohad H., (2017). Patient-centered care in healthcare and its implementation in nursing. International Journal of Caring Sciences, 10(1), 596–560.

Moore L., Britten N., Lydahl D., Naldemirci O., Elam M., Wolf A. (2017). Barriers and facilitators to the implementation of person-centred care in different healthcare contexts. Scandinavian Journal of Caring Sciences, 31(4), 662–673.

Nkrumah J., Abekah-Nkrumah G. (2019). Facilitators and barriers of patient-centered care at the organisational-level: A study of three district hospitals in the central region of Ghana. BMC Health Services Research, 19, 900, https://doi.org/10.1186/s12913-019-4748-z.

https://doi.org/10.1186/s12913-019-4748-z.

Onge J.L.S., Parnell R.B. (2015). Patient centered care and patient safety: A model for nurse educators. Teaching and Learning in Nursing, 10(1), 39–43.

Otani K.W., (2010). How patient reactions to hospital care attributes affect the evaluation of overall quality of care, willingness to recommend, and willingness to return. Journal of Healthcare Management/American College of Healthcare Executives, 55(1), 25–37.

Ouwens M., Hermens R., Hulscher M., Vonk-Okhuijsen S., Tjan-Heijnen V., Termeer R., Marres H., Wollersheim H., Grol R., (2010). Development of indicators for patient-centred cancer care. Support Care Cancer, 18(1), 121–130.

Park M., Giap T.T.T., Lee M., Jeong H., Jeong M., Go Y., (2018). Patient and family-centered care interventions for improving the quality of health care: A review of systematic reviews. International Journal of Nursing Studies, 87, 69–83.

(PCORI) MCotP-CORI (2012). Methodological standards and patient-centeredness in comparative effectiveness research: The pcori perspective. Journal of the American Medical Association, 307, 1636–1640.

Rangachari P., Bhat A., Seol Y.H., (2011). Using the “Customer Service Framework ”to successfully implement patient and family-centered care. Quality Management in Healthcare, 20(3), 179–197.

Rathert C., Williams E.S., McCaughey D., Ishqaidef G. (2015). Patient perceptions of patient-centred care: Empirical test of a theoretical model. Health Expect, 18(2), 199–209.

Rathert C, Wyrwich MD, Boren SA., (2013). Patient-centered care and outcomes: A systematic review of the literature. Medical Care Research and Review, 70(4), 351–79.

Riley B.H., White J., Graham S., Alexandrov A. (2014). Traditional/restrictive vs patient-centered intensive care unit visitation: Perceptions of patients’ family members, physicians, and nurses. American Journal of Critical Care, 23(4), 316–324.

Rogers C.R. (1986). Carl Rogers on the development of the person-centered approach. Person-Centered Review, 1(3), 257–259.

Santana M.J., Manalili K., Jolley R.J., Zelinsky S., Quan H., Lu M. (2018), How to practice person-centred care: A conceptual framework. Health Expect, 21(2), 429–440.

Scholl I., Zill J.M., Harter M., Dirmaier J. (2014). An Integrative Model of Patient-Centeredness – A Systematic Review and Concept Analysis. PLoS One, 9–9. e107828, doi.org/10.1371/journal.pone.0107828.

https://doi.org/10.1371/journal.pone.0107828.

Small D., Small R. (2011). Patients first: Engaging the hearts and minds of nurses with a patient-centered practice model. Online Journal of Issues in Nursing, 16(2), 2. PMID: 22088151.

Smith-Stoner M., (2011). Teaching patient-centered care during the silver hour. OJIN: Th Online Journal of Issues in Nursing, 16(2). Manuscript 6, doi: 10.3912/OJIN.Vol16No02Man06.

https://doi.org/10.3912/OJIN.Vol16No02Man06.

Turnbull A.E., Davis W.E., Needham D.M., White D.B., Eakin M.N. (2016). Intensivist-reported facilitators and barriers to discussing post-discharge outcomes with intensive care unit surrogates. A qualitative study. Annals of the American Thoracic Society, 13(9), 1546–1552.

Van der Meer L., Nieboer A.P., Finkenflugel H., Cramm J.M. (2018). The importance of person-centred care and co-creation of care for the well-being and job satisfaction of professionals working with people with intellectual disabilities. Scandinavian Journal of Caring Sciences, 32(1),76–81.

Warren N., (2012). Involving patient and family advisors in the patient and family-centered care model. Medsurg Nursing, 21(4), 233–239.

Informacje

Informacje: Sztuka Leczenia, Tom 37 (2022), Tom 37, Numer 1, s. 33 - 41

DOI: https://doi.org/10.4467/18982026SZL.22.004.15995

Typ artykułu: Oryginalny artykuł naukowy

Tytuły:

Polski:

Opieka skoncentrowana na pacjencie – analiza modelu i rezultatów wdrożenia do systemu opieki zdrowotnej

Angielski:

Patient-centered care – analysis of the model and results of implementation in to the health care system

Autorzy

Lucyna Ścisło

https://orcid.org/0000-0002-0237-7974

Instytut Pielęgniarstwa i Położnictwa, Wydział Nauk o Zdrowiu, Uniwersytet Jagielloński Collegium Medicum
Polska

Iwona Bodys-Cupak

https://orcid.org/0000-0002-8445-4442

Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków

Maria Kózka

https://orcid.org/0000-0002-5165-6929

Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków

Publikacja: 08.09.2022

Status artykułu: Otwarte

Licencja: CC BY-NC-ND

Udział procentowy autorów:

Lucyna Ścisło (Autor) - 33%

Iwona Bodys-Cupak (Autor) - 33%

Maria Kózka (Autor) - 34%

Korekty artykułu:

Języki publikacji:

Polski

Liczba wyświetleń: 874

Liczba pobrań: 1608

<p> Opieka skoncentrowana na pacjencie – analiza modelu i rezultatów wdrożenia do systemu opieki zdrowotnej</p>

Pobierz xml