Patient-Centered Care and Outcomes: A Systematic Review of the Literature
Patient-Centered Care and Outcomes: A Systematic Review of the Literature
复制标题
DOI：
10.1177/1077558712465774
复制
发表时间：
2013-08-01
影响因子：
2.5
通讯作者：
Boren, Suzanne Austin
中科院分区：
文献类型：
--
作者：
Rathert, Cheryl;Wyrwich, Mary D.;Boren, Suzanne Austin
以患者为中心的护理(PCC)研究已有几十年的历史。然而，对PCC缺乏明确的定义，也缺乏对具体的PCC过程与患者预后的关系的理解。我们对PCC文献进行了系统的回顾，以检查PCC的证据和结果。检索了截至2012年9月的所有年份的三个数据库。我们保留了40篇用于分析的文章。结果发现PCC和临床结果之间的关系喜忧参半，即一些研究发现PCC的特定元素与结果之间存在显著关系，而另一些研究则没有发现相关关系。有更多的证据表明，PCC对满意度和自我管理有积极影响。未来的研究应该检查PCC的特定维度以及它们与技术护理质量的关系，特别是一些尚未被广泛研究的维度。未来的研究还应确定PPC-结果关系中的调节和中介变量。
Patient-centered care (PCC) has been studied for several decades. Yet a clear definition of PCC is lacking, as is an understanding of how specific PCC processes relate to patient outcomes. We conducted a systematic review of the PCC literature to examine the evidence for PCC and outcomes. Three databases were searched for all years through September 2012. We retained 40 articles for the analysis. Results found mixed relationships between PCC and clinical outcomes, that is, some studies found significant relationships between specific elements of PCC and outcomes but others found no relationship. There was stronger evidence for positive influences of PCC on satisfaction and self-management. Future research should examine specific dimensions of PCC and how they relate to technical care quality, particularly some dimensions that have not been studied extensively. Future research also should identify moderating and mediating variables in the PPC-outcomes relationship.