Patient Centered Care: Focus on Low and Middle Income Countries and Proposition of New Conceptual Model

Abstract

The health system is a fundamental building block of a country's social project. Approaches and strategies differ but some concepts such as Patient Centred Care (PCC) seem to be more and more popular nowadays as the customer centric advocated in the industry. The research has focused on this trend of PCC with several different definitions but without having a particular focus on the context of Low and Middle Income Countries (LMICs). The objective of this study is, through an extensive literature review, to analyze this concept, to unify the dimensions described by different authors, to define a concept that can be proposed to LMICs and to determine facilitating factors as well as obstacles for its implementation. Keywords: Conceptual model, Health system, Low and middle income countries (LMICs), Patient Centered Care

Person-centered Care Assessment Tool, a focus in quality healthcare: A systematic review of psychometric properties

“…However, although this approach is conceived as an essential element in healthcare for most governments [44], PCC varies according to the different de nitions and interpretations attributed to it, which can cause confusion in its application (e.g., between Norway and the United Kingdom; [45]). Moreover, it has been seen that the facilitators or barriers to implementation depend on the context and level of development of each country and that nancial support remains one of the backbones in this regard [44]. This fact offers an explanation as to why PCC is not globally widespread among all territories.…”

“…However, although this approach is conceived as an essential element in healthcare for most governments [44], PCC varies according to the different de nitions and interpretations attributed to it, which can cause confusion in its application (e.g., between Norway and the United Kingdom; [45]).…”

“…Moreover, it has been seen that the facilitators or barriers to implementation depend on the context and level of development of each country and that nancial support remains one of the backbones in this regard [44]. This fact offers an explanation as to why PCC is not globally widespread among all territories.…”

Current Opinion and Practice on Peritoneal Carcinomatosis Management: The North African Perspective

“…In resource restricted contexts such as in the North African region, the prioritization and indications for the curative treatment may also face the constraints of limited critical care and surgical resources management and expertise (22,(38)(39)(40)(41). In fact, while only 26.2% of our respondents reported having access to HIPEC, a similar study on practice patterns in PC from the USA identified 65.8% of its participants as having easy access to a HIPEC and CRS specialists, with 42.7% being in the same hospital (33).…”

Audit of laparoscopic surgery for colon cancer in Morocco: A report of the results of a prospective multicentre cohort study

“…In Morocco, as for other low- and mid-income countries (LMIC), patients are challenged by the difficult access to health care, and consequently, are diagnosed in advanced cancer stages [ 12 , 13 ]. Although access to basic laparoscopic procedures such as cholecystectomy remains low in most cities in the country [ 14 ], some surgeons in academic centres have shifted to laparoscopic approaches for advanced diseases such as rectal and liver cancers [ 15 , 16 ].…”