The role of information and choice in patient-centred care in diabetes: a hierarchy of patient-centredness

Authors

  • Koula Asimakopoulou
  • Sasha Scambler

DOI:

https://doi.org/10.1002/edn.228

Keywords:

patient-centred care, diabetes self-management, shared decision making

Abstract

Abstract

This paper reviews some popular models of patient-centred care and acknowledges work that has questioned the measurement and effectiveness of patient-centredness in practice. In an attempt to enhance testing the concept practically, we propose a practical hierarchy of patient-centredness that we hope will aid the practical application of patientcentred care in clinical practice. The proposed hierarchy is illustrated through a practical example and the various stages inherent in it are described.

This paper concludes with a call that this theory-driven hierarchy of patient-centredness be tested out in practice with the view of confirming or revising it where appropriate so that it might serve as a useful clinical tool in future.

Downloads

Download data is not yet available.

References

Asimakopoulou KG, et al. 'First do no harm': the potential shortfalls of empowerment in diabetes. Eur Diabetes Nurs 2010;7:79–81.

Asimakopoulou K, et al. Health care profes-sionals' understanding and day-to-day prac-tice of patient empowerment in diabetes; time to pause for thought? Diabetes Res Clin Pract 2012;95(2):224–9.

Scambler S, et al. Barriers and opportunities of empowerment as applied in diabetes set-tings: a focus on health care professionals' experiences. Diabetes Res Clin Pract 2012;97(1):e18–22.

Asimakopoulou K, et al. Back to basics: Re-examining the role of patient empower-ment in diabetes. Patient Educ Couns 2012;86(3):281–3 .

Rathert C, et al. Patient-centered care and outcomes: a systematic review of the literature. Med Care Res Rev 2012 Nov 20. [Epub ahead of print.]

Inzucchi SE, et al. Management of hypergly-caemia in type 2 diabetes: a patient-centered approach. Position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia 2012;55: 1577–96.

Kitson A, et al. What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. J Adv Nurs 2013;69:4–15.

Olsson LE, et al. Efficacy of person-centred care as an intervention in controlled trials - a systematic review. J Clin Nurs 2013;22: 456–65.

Crossing the Quality Chasm. Institute of Medicine, Committee on Quality of Healthcare in America, 2001. www.iom.edu/Reports/2001/Crossing-the-Quality-Chasm-A-New-Health-System-for-the-21st-Century.aspx [accessed 26 March 2013].

Hudon C, et al. Measuring patients' perceptions of patient-centered care: a systematic review of tools for family medicine. Ann Fam Med 2011;9:155–64.

Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 2000;51: 1087–110.

Stewart M, et al. Patient-Centred Medicine: Transforming the Clinical Method. Oxford: Radcliffe Medical Press, 2003.

Asimakopoulou K. Empowerment in the self-management of diabetes: are we ready to test assumptions? Eur Diabetes Nurs 2007;4:94–7.

Patient Empowerment - who empowers whom? Lancet 2012 May 5;379:1677. doi: 10.1016/S0140-6736(12)60699-0 [accessed 25 March 2013].

Stevens R, et al. The UKPDS risk engine: a model for the risk of coronary heart disease in Type II diabetes (UKPDS 56). Clin Sci 2001;101:671–9.

Downloads

Published

2013-07-01

How to Cite

Asimakopoulou, K., & Scambler, S. (2013). The role of information and choice in patient-centred care in diabetes: a hierarchy of patient-centredness. International Diabetes Nursing, 10(2), 58–62. https://doi.org/10.1002/edn.228

Issue

Section

Research Article