ArticleBMJ open2020
Patients' perspectives of facilitators and barriers to patient-centred care: insights from qualitative patient interviews.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 81 citations in OpenAlex.
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- Developing recommendations for digital collaboration meetings across healthcare levels and services for patients with chronic pain- a qualitative study.BMC health services research · 2026Article
- Participatory Rapid Appraisal and Focus Groups to co-design technology-supported integrated care.PloS one · 2026Article
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- Exploring the Gender Preferences for Healthcare Providers and Their Influence on Patient Satisfaction.Healthcare (Basel, Switzerland) · 2025Article
- The uneven triad: a qualitative study of perspectives of relatives, patients, and professionals on (not) involving relatives in mental health.BMC psychiatry · 2025Article
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- Understanding barriers and facilitators to implementation of a patient safety bundle for pregnancy-related severe hypertension in 3 North Carolina outpatient clinics: a qualitative study.Implementation science communications · 2025Article
- Difficulties in Care and Unmet Needs from the Perspective of Patients with Lung Cancer and Stroke - A Qualitative Study in Germany.Patient preference and adherence · 2025Article
- Person-centered workplace culture: insights from an inpatient department for older adults with chronic illnesses.Frontiers in medicine · 2025Article
- "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care.BMC health services research · 2024Article
- The Congenital Cardiology Cloud - optimizing long-term care by connecting ambulatory and hospital medical attendance via telemedicine.Klinische Padiatrie · 2024Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPrevious studies on patient-centred care (PCC) and its facilitators and barriers usually considered specific patient groups, healthcare settings and aspects of PCC or focused on expert perspectives. The objective of this study was to analyse patients' perspectives of facilitators and barriers towards implementing PCC.
designWe conducted semistructured individual interviews with chronically ill patients. The interviewees were encouraged to share positive and negative experiences of care and the related facilitators and barriers in all settings including preventive, acute and chronic health issues. Interview data were analysed based on the concept of content analysis.
settingInterviews took place at the University Hospital Cologne, nursing homes, at participants' homes or by telephone.
participantsAny person with at least one chronic illness living in the region of Cologne was eligible for participation. 25 persons with an average age of 60 years participated in the interviews. The participants suffered from various chronic conditions including mental health problems, oncological, metabolic, neurological diseases, but also shared experiences related to acute health issues.
resultsParticipants described facilitators and barriers of PCC on the microlevel (eg, patient-provider interaction), mesolevel (eg, health and social care organisation, HSCO) and macrolevel (eg, laws, financing). In addition to previous concepts, interviewees illustrated the importance of being an active patient by taking individual responsibility for health. Interviewees considered functioning teams and healthy staff members a facilitator of PCC as this can compensate stressful situations or lack of staff to some degree. A lack of transparency in financing and reimbursement was identified as barrier to PCC.
conclusionIndividual providers and HSCOs can address many facilitators and barriers of PCC as perceived by patients. Large-scale changes such as reduction of administrative barriers, the expansion of care networks or higher mandatory nurse to patient ratios require political action and incentives. TRIAL REGISTRATION NUMBER: DRKS00011925.
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