Active Patient Orientation and Outcomes in Hypertensive Treatment

Schulman, Beryl A.

doi:10.1097/00005650-197903000-00004

Cited by 162 publications

(66 citation statements)

References 17 publications

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“…Other concepts that can be found in international literature are 'consumer driven health care' [21], 'patient/client centred care' [e.g. 38,39], 'patient/client oriented care' [59], etc. Although differences can be seen among the approaches, in terms of their specific emphasis and degree of client-centeredness [5,46], all developments represent a client perspective on care and service provision.…”

Section: Definitionmentioning

confidence: 99%

Demand-based Provision of Housing, Welfare and Care Services to Elderly Clients: From Policy to Daily Practice Through Operations Management

2008

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Practical implementation of notions such as patient-orientation, clientcentredness, and demand-driven care is far from straightforward in care and service supply to elderly clients living independently. This paper aims to provide preliminary insights into how it is possible to bridge the gap between policy intent, which reflects an increasing client orientation, and actual practice of care and service provision. Differences in personal objectives and characteristics generate different sets of needs among elderly clients that must have an appropriate response in the daily routines of care and service providers. From a study of the available literature and by conceptual reasoning, we identify several important operational implications of client-oriented care and service provision. To deal with these implications the authors turn to the field of operations management. This field has deepened the understanding of translating an organisation's policy into daily activities and working methods. More specifically, we elaborate on the concept of modularity, which stems from the field of operations management. With respect to elderly people who live independently, this concept, among others, seems to be particularly useful in providing options and variation in individual care and service packages. Based on our line of reasoning, we propose that modularity provides possibilities to enhance the provision of demand-based care and services. 123Health Care Anal (2009) 17:68-84 DOI 10.1007 Furthermore, our findings offer direction on how organisations in housing, welfare and care can be guided in translating demand-based care to their operational processes.

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Section: Definitionmentioning

confidence: 99%

Demand-based Provision of Housing, Welfare and Care Services to Elderly Clients: From Policy to Daily Practice Through Operations Management

2008

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“…Patients vary in the extent to which they want to be actively involved in their care and the degree to which they want to share in decisions about their treatment: in other words, to achieve what Schulman (1979) labeled an ''active patient orientation." Hence, it is important to determine how much patients would like to be involved in their own care.…”

Section: The Preference For Being Involved In Treatment Decisionsmentioning

confidence: 99%

Interpersonal Processes of Care in Diverse Populations

1999

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Persons of lower socioeconomic status and members of racial and ethnic minority groups experience poorer health and increased health risk factors. A framework of interpersonal processes of care specifies distinct components and incorporates the perspective of diverse racial and ethnic or socioeconomic groups. Its dimensions, each with several domains, are communication (general clarity, elicitation of and responsiveness to patient concerns, explanations, empowerment), decision making (responsiveness to patient preferences, consideration of ability and desire to comply), and interpersonal style (friendliness, respectfulness, discrimination, cultural sensitivity, support). All the domains, except cultural sensitivity, were validated through a survey of 603 ethnically diverse, low‐income adults. Confirmation of the framework's usefulness should enable researchers to explore how interpersonal processes might account for observed ethnic and social class differences in health care and health.

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“…In so far as shared decision-making has been linked with positive patient outcomes (e.g. satisfaction and improvements in functional status), clarification of this model is clinically relevant (Egbert et al, 1964;Schulman, 1979;Greenfield et al, 1985Greenfield et al, , 1988Brody et al, 1989;Wennberg, 1990;Mahler and Kulik, 1990;Lerman et al, 1990). Greater conceptual clarity could also guide research in this area by providing clearer direction on the types of information to be collected as relevant examples of shared and non-shared decision-making.…”

Section: Introductionmentioning

confidence: 99%