The patient-centered clinical method: a family medicine perspective

Stewart, Moira

doi:10.2399/tahd.13.00073

Cited by 4 publications

(6 citation statements)

References 13 publications

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“…Multimorbidite ve birlikte ortaya çıkan rahatsızlık deneyimlerine ilişkin bu veriler, aile hekimlerinin, hastalarının sorunlarının tüm bu yönlerini ve hastalık ile rahatsızlığın arasındaki etkileşimi derinlemesine anlama ihtiyacını kavramalarına ve hastaların neden hasta odaklı bakım beklediklerine yardımcı olabilir. 31 HMKY uygulanırken sorulacak açık uçlu sorularla hastanın rahatsızlığıyla ilgili duyguları, düşünceleri, beklentileri ve durumunun günlük yaşam aktiviteleri üzerindeki etkileri değerlendirildiğinde ve ortak bir zemin oluşturulabildiğinde biyomedikal yönteme göre daha büyük kazançlar ortaya çıkmaktadır. Bu sayede hastalar kendilerini sorumlu hissederek oluşturulan bakım planına daha iyi uyabilmekte, kendi mevcut kaynaklarını daha etkin kullanarak fizyolojik sağlıklarında iyileşme ortaya çıkarmakta ve koruyucu hekimlik uygulamalarında aile hekimiyle birlikte daha uyumlu çalışabilmektedirler.…”

Section: Resim 2 Lenfadenopatiunclassified

A Case Of Syphılıs In A Famıly Health Center In

MERT,

DUR

2023

Turkish Journal of Family Medicine and Primary Care

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Sifilis, Treponema pallidum cinsi spiroketlerin etken olduğu, deri döküntüsü, ağrısız genital ülser, lenfadenopati, mukokutanöz lezyonlar gibi pek çok farklı klinik durumla karşımıza çıkabilen cinsel yolla bulaşan bir enfeksiyondur. Kendiliğinden iyileşebilen ve yıllarca asemptomatik seyreden olgular hastalığın yayılmasına neden olabilir. Günümüzde hastalık epidemiyolojisindeki değişimler nedeniyle ileri yaşlarda da sifilis vakaları bildirilmektedir. Aile hekimliği, tıp disiplinleri arasında ayrışmamış hasta ile en sık karşılaşılan bölümlerdendir. Bu makalede, aile sağlığı merkezine genital bölgede yara, sol kasıkta şişlik ve ağrı şikayetiyle gelen bir hastaya aile hekimi tarafından sifilis teşhisinin konulması ve tedavisinin yapılması sürecini ve düşük prevalans hekimliği ve ayrışmamış hasta yaklaşımının birinci basamaktaki önemini dile getirmeyi amaçladık.

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Section: Resim 2 Lenfadenopatiunclassified

A Case Of Syphılıs In A Famıly Health Center In

MERT,

DUR

2023

Turkish Journal of Family Medicine and Primary Care

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“…The patient-centered clinical method (PCCM) described by Moira Stewart et al clearly defines how to apply the biopsychosocial approach into clinical practice. 2 PCCM consists of 4 components: 1) exploring both the disease and the illness experience, 2) understanding the whole person, 3) finding common ground, and 4) enhancing the patient-physician relationship. These four tasks can only be accomplished if the physician gives up his authoritative determinative behavior and learns to share the power with the patient and overcome his/her detachment and learn to respect the illness experience of the patient.…”

Section: Introductionmentioning

confidence: 99%

“…These four tasks can only be accomplished if the physician gives up his authoritative determinative behavior and learns to share the power with the patient and overcome his/her detachment and learn to respect the illness experience of the patient. 2 Patient-centeredness can be most easily and effectively carried out in the family medicine environment. 3 The European Academy of Teachers in Family Medicine (EURACT) also accepts patient-centeredness as one of the core competencies of family medicine.…”

Section: Introductionmentioning

confidence: 99%

“…7 In other words, the main factor that makes the difference in health outcomes is not the measure of the physician's behavior in terms of patient-centeredness, but to what extent the patient perceives this consultation as patient-centered. 2 In addition, many patient groups have stated that it is important to receive patientcentered services. 8 In this context, it is important to measure how much the patient perceives a patient-physician consultation as patient-centered.…”

Section: Introductionmentioning

confidence: 99%

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Hastanın Hasta Merkezlilik Algısı Ölçeği Türkçe Geçerlik Güvenilirlik Çalışması

Günvar¹,

BAŞAK

LİMNİLİ³

et al. 2022

Turkish Journal of Family Medicine and Primary Care

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Background: Patient-centeredness is one of the components of high-quality care and accepted as one of the core competencies of family medicine. The positive effect of patient-centered care on health outcomes reveals itself mainly through the patient's perception of patient-centeredness, which can be measured by the Patient Perception of Patient-Centeredness (PPPC) scale. Aims: To evaluate Turkish validity and reliability of the 18-item 'patient perception of patient-centeredness' scale (PPPC-R) developed by Stewart et al. Study Design: Methodological study. Methods: The translation of the scale was performed by three researchers with the help of 10 family medicine academicians as well as the main developers of the original scale. The Turkish form of the scale, along with the Patient-Physician Relationship summary dimension of the Primary Care Assessment Scale (PCAS) and the Patient-Doctor Relationship Questionnaire (PDRQ), was applied to 339 primary care patients. Results: The original 3-factor model of the revised Patient Perception of Patient-Centeredness (PPPC-R) questionnaire was tested with a Confirmatory Factor Analysis (CFA) to determine if the factor structure of the PPPC-R cross-validates in a Turkish patient population. The fit indices regarding the three-dimensional structure of PPPC-R are within the good or acceptable limits. The standardized factor loadings of the PPPC-R scale items ranged from 0.52 to 0.81 and t values were significant. Cronbach alpha of the scale was 0.903. With respect to criterion, the validity scale showed a negative correlation with both PCAS and PDRQ as expected. Conclusion: The three-dimensional structure of the scale was confirmed with CFA. During this verification, one item did not work and the factor load was considered to be low and removed from the scale. Turkish version of PPPC-R is a scale that can be used to evaluate patients' perception of patient-centeredness.

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“…A patient-centered approach reduces the poor quality of medical practice and leads to less diagnostic testing and less referral. 8,9 In Turkey, although patient-centered care is not considered as a priority in primary health care by the ministry, there are continuous efforts to strengthen and develop family medicine and primary care. As an essential technique in family practice, learning and introducing the patient-centered clinical method in primary care may make a significant contribution to these efforts.…”

Section: Introductionmentioning

confidence: 99%

Hasta Merkezli İletişim Ölçüm Aracının Değerlendirici İçi ve Değerlendiriciler Arası Güvenilirliği

GÜNVAR>¹,

GÜREL>²,

Güldal³

et al. 2022

Turkish Journal of Family Medicine and Primary Care

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Introduction: The patient-centered clinical method allows the biopsychosocial model to be implemented in clinical practice. It is critical to look at the use of the patient-centered clinical method, which has been shown to benefit both patients and clinicians, particularly in primary care. The Measure of Patient-Centered Communication (MPPC) is a theory-based instrument for assessment of patient-physician interaction. The aim of this research is to investigate the inter- and intra-rater reliability of the MPCC tool in Turkish. Methods: Audiovisual recordings of 60 patient-physician consultations of 30 family physicians were evaluated. Three researchers independently assessed and scored these interviews with MPCC by following the instructions in the manual of the tool. Evaluators reassessed the randomly selected 20 consultations 15 days later to determine the intra-rater reliability. For each component score and the overall score, ICC estimates, and their 95% confidence intervals were calculated based on a mean-rating (k=3), consistency, 2-way mixed-effects model. Results: The ICCs for overall score and component one were 0.810 and 0.820, respectively, for all 60 consultations, demonstrating strong inter-rater reliability. Components two and three had ICCs of 0.646, indicating strong reliability, and 0.537, indicating moderate reliability. All researchers' intra-rater correlation scores for all score groups ranged between 0.989 and 0.698, indicating good to excellent reliability. Conclusions: MPCC tool is reliable in its current form as it is translated into another language and conducted in another sociocultural environment.

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The patient-centered clinical method: a family medicine perspective

Cited by 4 publications

References 13 publications

A Case Of Syphılıs In A Famıly Health Center In

A Case Of Syphılıs In A Famıly Health Center In

Hastanın Hasta Merkezlilik Algısı Ölçeği Türkçe Geçerlik Güvenilirlik Çalışması

Hasta Merkezli İletişim Ölçüm Aracının Değerlendirici İçi ve Değerlendiriciler Arası Güvenilirliği

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