Spillover of Ratings of Patient- and Family-Centered Care.
Spillover of Ratings of Patient- and Family-Centered Care.
复制标题
以患者和家庭为中心的护理评级的溢出。
DOI：
10.1097/jac.0000000000000133
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Cook,Benjamin
中科院分区：
文献类型：
--
作者：
Christensen,AnnaL;Brown,JonathanD;Wissow,LawrenceS;Cook,Benjamin
As primary care models increasingly include nonphysician team members, more attention should be paid to patient-and family-centered care (PFCC) among medical assistants (MAs). The aims of this article are to describe parent perceptions of PFCC by MAs and assess associations between MA PFCC and other perceptions of their care experience. To assess PFCC, we administered the CARE (Consultation and Relational Empathy) measure to the parent/guardian of 360 children following a primary care visit. Perceptions of PFCC by MAs were significantly associated with 6 of 7 other measures of patient experience, including PFCC by the physician, treatment by the receptionist, and satisfaction with wait time. Each team member can potentially shape perceptions of care in ways that could “spill over” into other parts of the visit.PATIENT-AND FAMILY-CENTERED CARE (PFCC) is a core value of family medicine and is 1 of 6 key elements of health care quality defined by the Institute of Medicine (Hudon et al., 2011; Institute of Medicine, 2001).* There is no agreed-upon definition of PFCC, but most focus on the relationship between care provider, the patient, and/or patient's family. Hudon et al.(2011) identify 4 domains of PFCC: exploring both the disease and illness experience, understanding the whole person, finding common ground (sharing power and responsibility), and enhancing the doctor-patient relationships (therapeutic alliance).
