ArticleBMJ open2019
Assessing the relevance and implementation of patient-centredness from the patients' perspective in Germany: results of a Delphi study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient-reported experiences and patient-reported experience measures in primary care, home care, and community settings. A scoping review.Frontiers in rehabilitation sciences · 2026Pooled it
- Pooled it
- Effects of a shared decision-making implementation programme on patient-centred communication in oncology-Secondary analysis of a randomised controlled trial.Health expectations : an international journal of public participation in health care and health policy · 2024Trial
- [Measuring patient experiences in healthcare-overview of methods and the Experienced Patient-Centeredness Questionnaire (EPAT) as an example].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Review
- [Patient safety-development and evaluation].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Review
- Through the patients' eyes: psychometric evaluation of the 64-item version of the Experienced Patient-Centeredness Questionnaire (EPAT-64).BMJ quality & safety · 2025Article
- Development and Psychometric Testing of EPAT-16: A Short and Valid Measure for Patient-Centeredness From the Patient's Perspective.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- A standardized set of metrics to assess the quality of anesthesia, perioperative care, and acute pain management in Canada: a multidisciplinary modified Delphi study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Article
- Psychometrics of a Persian patient-centered care scale for chronic diseases.Journal of education and health promotion · 2025Article
- [Dimensions of person-centeredness in abortion services-selected results of the CarePreg study].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Review
- Perspective on patient-centered communication: a focus group study investigating the experiences and needs of nursing professionals.BMC nursing · 2024Article
- Development of a patient-centered app in Germany as a special health and organizational support by surveying patients with cardiovascular diseases.Clinical research in cardiology : official journal of the German Cardiac Society · 2024Article
- Development and validation of a patient reported experience measure for experimental cancer medicines (PREM-ECM) and their carers (PREM-ECM-Carer).BMC cancer · 2024Article
- Assessment of relevance and actual implementation of person-centeredness in healthcare and social support services for women with unintended pregnancy in Germany (CarePreg): results of expert workshops.BMC pregnancy and childbirth · 2024Article
- Which aspects of patient experience are the 'moment of truth' in the healthcare context: a multicentre cross-sectional study in China.BMJ open · 2024Article
- [Systems thinking, subjective findings and diagnostic "pigeonholing" in ME/CFS: A mainly qualitative public health study from a patient perspective].Deutsche medizinische Wochenschrift (1946) · 2024Article
- Patient-centeredness-a cultural targeted survey among junior medical managers.International journal for equity in health · 2023Article
- Patient-centredness in primary care walk-in clinics for refugees in Hamburg.BMC primary care · 2023Article
- Extended producer responsibility in developing economies: Assessment of promoting factors through retail electronic firms for sustainable e-waste management.Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA · 2023Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePatient-centredness (PC) has particularly grown in relevance in health services research as well as in politics and there has been much research on its conceptualisation. However, conceptual work neglected the patients' perspective. Thus, it remains unclear which dimensions of PC matter most to patients. This study aims to assess relevance and current degree of implementation of PC from the perspective of chronically ill patients in Germany.
methodsWe conducted a Delphi study. Patients were recruited throughout Germany using community-based strategies (eg, newspapers and support groups). In round 1, patients rated relevance and implementation of 15 dimensions of PC anonymously. In round 2, patients received results of round 1 and were asked to re-rate their own results. Participants had to have at least one of the following chronic diseases: cancer, cardiovascular disease, mental disorder or musculoskeletal disorder. Furthermore, patients had to be at least 18 years old and had to give informed consent prior to participation.
results226 patients participated in round 1, and 214 patients in round 2. In both rounds, all 15 dimensions were rated highly relevant, but currently insufficiently implemented. Most relevant dimensions included 'patient safety', 'access to care' and 'patient information'. Due to small sizes of subsamples between chronic disease groups, differences could not be computed. For the other subgroups (eg, single disease vs multi-morbidity), there were no major differences.
conclusionThis is one of the first studies assessing PC from patients' perspective in Germany. We showed that patients consider every dimension of PC relevant, but currently not well implemented. Our results can be used to foster PC healthcare delivery and to develop patient-reported experience measures to assess PC of healthcare in Germany.
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