- Title
- Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment
- Creator
- Tzelepis, Flora; Sanson-Fisher, Robert W.; Zucca, Alison C.; Fradgley, Elizabeth A.
- Relation
- Patient Preference and Adherence Vol. 9, p. 831-835
- Publisher Link
- http://dx.doi.org/10.2147/PPA.S81975
- Publisher
- Dove Medical Press
- Resource Type
- journal article
- Date
- 2015
- Description
- Purpose: The Institute of Medicine (IOM) identified patient-centeredness as crucial to quality health care. The IOM endorsed six patient-centeredness dimensions that stipulated that care must be: respectful to patients¿ values, preferences, and expressed needs; coordinated and integrated; provide information, communication, and education; ensure physical comfort; provide emotional support; and involve family and friends. Patient-reported measures examine the patient¿s perspective and are essential to the accurate assessment of patient-centered care. This article¿s objectives are to: 1) use the six IOM-endorsed patient-centeredness dimensions as a framework to outline why patient-reported measures are crucial to the reliable measurement of patient-centered care; and 2) to identify existing patient-reported measures that assess each patient-centered care dimension. Methods: For each IOM-endorsed patient-centeredness dimension, the published literature was searched to highlight the essential role of patients in assessing patient-centered care and informing quality improvement efforts. Existing literature was also searched to identify examples of patient-reported measures that assess each patient-centeredness dimension. Conclusion: Patient-reported measures are arguably the best way to measure patient-centeredness. For instance, patients are best positioned to determine whether care aligns with patient values, preferences, and needs and the Measure of Patient Preferences is an example of a patient-reported measure that does so. Furthermore, only the patient knows whether they received the level of information desired, and if information was understood and can be recalled. Patient-reported measures that examine information provision include the Lung Information Needs Questionnaire and the EORTC QLQ-INFO25. In relation to physical comfort, only patients can report the severity of physical symptoms and whether medications provide adequate relief. Patient-reported measures that investigate physical comfort include the Pain Care Quality Survey and the Brief Pain Inventory. Using patient-reported measures to regularly measure patient-centered care is critical to identifying areas of health care where improvements are needed.
- Subject
- patient-centered care; quality of care; quality assessment; patient-reported measures
- Identifier
- http://hdl.handle.net/1959.13/1333222
- Identifier
- uon:27034
- Identifier
- ISSN:1177-889X
- Rights
- © 2015 Tzelepis et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php
- Language
- eng
- Full Text
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