The Relationship Between Positive Patient Experience in Acute Hospitals and Person-Centred Care

Abstract

Internationally, person-centred care has become a central tenet of many health and social care related policies and strategies. However, few studies exist that explicitly examine the linkage between patients' perceptions of a person-centred care climate and patients' experiences of care. This has been hampered by a dearth of instruments with acceptable psychometric properties. The aim of this study is to examine the relationship between patients' perceptions of person-centredness and their experiences of care. A cross sectional survey design was used to purposively sample (n = 345, 57.5%) patients from across 10 acute hospitals settings in Ireland. The data was collected Feb 2013-May 2013. Standardised instruments were used to measure patients' perceptions of person-centredness and their experiences of care. Questionnaire packs were distributed to a sample of patients based on predetermined inclusion criteria. Completed questionnaires were returned in a sealed envelope. The instruments were psychometrically tested prior to full analysis of the results. Ethical approval was granted by Research Ethics Committees in all participating hospitals. The psychometric properties of both instruments were determined as satisfactory. There was a moderate positive and significant relationship between patients' perceptions of a person-centred climate and patient experiences. Patients who perceived care as being more personcentred also reported a more positive patient experience. The emergence of new instruments designed to measure patients' perceptions of person-centredness and patient experiences have been shown to have acceptable psychometric properties. This study demonstrates clear linkage between patients' experiences of care and the key indicators of person-centred care.

Evaluating patient experiences in decentralised acute care using the Picker Patient Experience Questionnaire; methodological and clinical findings

“…Nevertheless, many wanted greater involvement in decisions about their care and treatment. Although this finding is in line with a study of 34,000 hospitalised patients in Sweden [ 43 ], our results seem to contrast prior reports that have observed a positive association between respect/dignity and involvement in care [ 44 ]. Patient-centred care has been described as a partnership between patients and healthcare professionals to inform and involve patients in shared decision making [ 45 ].…”

Patient experiences and predictors in an acute geriatric ward: A cross‐sectional study

“…In our study, 17.9% reported that doctors talked in front of them as if they were not there, and 23.2% reported that they were not always treated with respect and dignity, while 50.8% wanted to be more involved in decisions regarding their treatment and care. This is in-line with findings from a study of 34,000 hospitalised patients (Barry & Edgman-Levitan, 2012;McCance et al, 2011;Parlour, Slater, Mccormack, Gallen, & Kavanagh, 2014;Richardson et al, 2007). For example, Levinson, Kao, Kuby, and Thisted (2005) found that patients' interest of being active in their care plans decreased with age.…”

“…Findings indicate a problem in achieving patient‐centred care, which has been emphasised as basis for high‐quality care aiming to ensure that patients’ are at the centre of care delivery (McCance, McCormack, & Dewing, ). However, questions have been raised concerning whether patients really want to participate in decision‐making processes (Barry & Edgman‐Levitan, ; McCance et al., ; Parlour, Slater, Mccormack, Gallen, & Kavanagh, ; Richardson et al., ). For example, Levinson, Kao, Kuby, and Thisted () found that patients’ interest of being active in their care plans decreased with age.…”

The Importance of Being Taken Care of—Patients’ Experience with the Quality of Healthcare in a Norwegian Hospital

“…It is also a prerequisite for collaboration and how patients participate in their own care and treatment [28]. A positive connection between the experience of patient-centered practice and quality is also documented in Edvardsson et al [29] and Parlour et al [30].…”