How is patient-centred care conceptualized in women’s health: a scoping review

Gagliardi, Anna R.; Nyhof, Bryanna B.; Dunn, Sheila; Grace, Sherry L.; Green, Courtney; Stewart, Donna E.; Wright, Frances C.

doi:10.1186/s12905-019-0852-9

Cited by 17 publications

(29 citation statements)

References 38 publications

(79 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…income, employment, education, ethnicity, culture, religion, etc.). With respect to the WH component of the analytic framework, our prior scoping review identified an absence of frameworks or models of women’s health [ 37 ]. Therefore, we employed a broad, inclusive approach to identify any mention of women’s health (e.g.…”

Section: Methodsmentioning

confidence: 99%

Medical student exposure to women’s health concepts and practices: a content analysis of curriculum at Canadian medical schools

Anderson

Gagliardi

2021

BMC Med Educ

Self Cite

View full text Add to dashboard Cite

Background Women’s health (WH) includes a broad array of concerns and challenges that affect health across the lifespan. Considerable research shows that women continue to experience disparities in access to and quality of care. Apart from surveys of medical trainees and faculty, little research and none in Canada examined medical curriculum for WH. This study assessed how Canadian medical schools integrate WH in their curriculum. Methods We used deductive and summative content analysis to describe instances and the nature of WH topics in program and course descriptions that were publicly-available on web sites of Canadian medical schools. We reported results using summary statistics and text examples. We employed a framework, tested in our prior research, that included mention of women’s health principles and practices relevant to any health concern or condition including factors (e.g. sex, gender, social determinants) that influence health, and access to or quality of care. Results We retrieved 1459 documents from 16 medical schools (median 49.5, range 16 to 301). Few mentioned WH (125, 8.6 %), and the quantity of mentions varied by school (range 0.0–37.5 %). Pre-clerkship course documents more frequently mentioned WH (61/374, 17.3 %, chi square 43.2, p < 0.00001) compared with clerkship course documents (58/1067, 5.4 %). Core course documents more frequently mentioned WH (72/542, 13.3 %, chi square 29.0, p < 0.00001) compared with elective course documents WH (47/899, 5.2 %). Overall, documents more frequently referred to the WH domain of social determinants of health (88, 70.4 %). Few documents addressed women’s health (21, 16.8 %), sex or gender (19, 15.2 %), other considerations (15.2 %) or principles/components of women’s health (2, 1.6 %). Most documents that mentioned WH provided little detail about what those concepts referred to or how to optimize WH. Conclusions Based on program and course descriptions, WH may not be well-integrated at Canadian medical schools, and future physicians may not be consistently exposed to the full breadth of WH. This reveals opportunities for enhancing WH in the medical curriculum. Future research is needed to engage stakeholders including women in developing, implementing and evaluating competencies and corresponding curriculum that reflect the full range of WH concepts and practices.

show abstract

Section: Methodsmentioning

confidence: 99%

Medical student exposure to women’s health concepts and practices: a content analysis of curriculum at Canadian medical schools

Anderson

Gagliardi

2021

BMC Med Educ

Self Cite

View full text Add to dashboard Cite

show abstract

“…Feminist scholarship has criticized the medicalization of the life stage of menopause [15]. Self-valuation may become a reflection of how society perceives women's value.…”

Section: Social Determinants Of Healthmentioning

confidence: 99%

“…Healthcare providers must remember that the patient is the expert in their own lived experience. When these factors are incorporated, patients are more likely to feel heard, cared for, and invested in the treatment plan [15,49].…”

Section: Complementary and Alternative Medicine (Cam)mentioning

confidence: 99%

“…This review highlighted the lack of established frameworks specific to patient-centered care for women's health. Although none of the studies included women exclusively, in over half of the studies reviewed, novel elements of patientcentered care desired by women emerged, including timely responses to questions, flexible scheduling, feeling seen and heard as a unique individual, and receiving individualized treatment [15]. These findings disclose vital areas for quality improvement initiatives and further research.…”

Section: Providing Informationmentioning

confidence: 99%

See 1 more Smart Citation

Communication with Women in the Menopause Transition

Blount

2021

Each Woman’s Menopause: An Evidence Based Resource

View full text Add to dashboard Cite

“…19 Another review revealed no PCC frameworks or models specific to women. 20 Similarly, a content analysis of practice guidelines on various clinical topics identified little guidance on how to achieve PCC or tailor care for women. 21 Hence, we lack knowledge about how to achieve patient-centered care for women (PCCW).…”

Section: Introductionmentioning

confidence: 99%

Patient-Centered Care for Women: Delphi Consensus on Evidence-Derived Recommendations

et al. 2020

Self Cite

View full text Add to dashboard Cite

Patient-centered care (PCC) could reduce gender inequities in quality of care. Little is known about how to implement patient-centered care for women (PCCW). We aimed to generate consensus recommendations for achieving PCCW.Methods: We used a 2-round Delphi technique. Panelists included 21 women of varied age, ethnicity, education, and urban/ rural residence; and 21 health professionals with PCC or women's health expertise. Panelists rated recommendations, derived from prior research and organized by a 6-domain PCC framework, on a 7-point Likert scale in an online survey. We used summary statistics to report response frequencies and defined consensus as when $85% panelists chose 5 to 7.Results: The response rate was 100%. In round 1, women and professionals retained 46 (97.9%) and 42 (89.4%) of 47 initial recommendations, respectively. The round 2 survey included 6 recommendations for women and 5 recommendations for professionals (did not achieve consensus in round 1 or were newly suggested). In round 2, women retained 2 of 6 recommendations and professionals retained 3 of 5 recommendations. Overall, 49 recommendations were generated. Both groups agreed on 44 (94.0%) recommendations (13 retained by 100% of both women and clinicians): fostering patient-physician relationship (n = 11), exchanging information (n = 10), responding to emotions (n = 4), managing uncertainty (n = 5), making decisions (n = 8), and enabling patient self-management (n = 6). Conclusion:The recommendations represent the range of PCC domains, are based on evidence from primary research, and reflect high concordance between women and professional panelists. They can inform the development of policies, guidelines, programs, and performance measures that foster PCCW.

show abstract

How is patient-centred care conceptualized in women’s health: a scoping review

Cited by 17 publications

References 38 publications

Medical student exposure to women’s health concepts and practices: a content analysis of curriculum at Canadian medical schools

Medical student exposure to women’s health concepts and practices: a content analysis of curriculum at Canadian medical schools

Communication with Women in the Menopause Transition

Patient-Centered Care for Women: Delphi Consensus on Evidence-Derived Recommendations

Contact Info

Product

Resources

About