ArticleBMC family practice2021
Making care more patient centered; experiences of healthcare professionals and patients with multimorbidity in the primary care setting.
Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Access or continuity: a zero sum game? A systematic review of the literature examining the relationship between access and continuity in primary healthcare.BMC primary care · 2025Pooled it
- The renewed Development Model for Integrated Care: a systematic review and model update.BMC health services research · 2025Pooled it
- Patient journeys mapping in health management for older patients with chronic obstructive pulmonary disease: a qualitative descriptive study.BMC public health · 2026Article
- Review
- Impact of a training program on gastroenterology health care professionals' patient-centered shared decision-making: a pilot study.BMC gastroenterology · 2026Article
- Positive and negative experiences and emotions of older patients before, during and after hospital admission: patient journey mapping.BMC geriatrics · 2026Article
- Co-creating a person-centred approach in primary care for patients with low socioeconomic status and chronic conditions:Primary health care research & development · 2025Article
- Effects of a Complex Care Model for Patients with Multimorbidity in Lithuania: Results from an Implementation Study.Healthcare (Basel, Switzerland) · 2025Article
- Gender differences in self-management activation among patients with multiple chronic diseases: a qualitative study.Archives of public health = Archives belges de sante publique · 2025Article
- Factors Affecting Patients' Use of Telehealth Services: Cross-Sectional Survey Study.Journal of medical Internet research · 2025Article
- Using the P-CaRES Tool to Identify Palliative Care Needs in Patients with Life-Limiting Diseases: An Analysis of Internal Medicine Admissions.Journal of clinical medicine · 2025Article
- Facilitators and barriers in the implementation of patient-centred care interventions among general practitioners: a systematic review protocol.Health research policy and systems · 2025Article
- Patterns of symptom deterioration can support multimorbidity management in COPD: Perspectives of patients and healthcare professionals.PloS one · 2025Article
- Exploring the nurse-patient relationship in caring for the health priorities of older adults: qualitative study.BMC nursing · 2024Article
- "It's Like A Partnership": Exploring the Primary Care Experiences and Patient-Defined Goals of People Who Use Drugs.Journal of general internal medicine · 2024Article
- Psychosocial burden and healthcare disillusionment in recurrent UTI: a large-scale international survey of patient perspectives.Frontiers in urology · 2023Article
- Person-centred care in the Dutch primary care setting: Refinement of middle-range theory by patients and professionals.PloS one · 2023Article
- My Goals Are Not Their Goals: Barriers and Facilitators to Delivery of Patient-Centered Care for Patients with Multimorbidity.Journal of general internal medicine · 2022Article
- Easier Said Than Done: Healthcare Professionals' Barriers to the Provision of Patient-Centered Primary Care to Patients with Multimorbidity.International journal of environmental research and public health · 2021Article
- Psychometric Validation of the Cantonese Version of the Patient-Centered Primary Care Instrument for Multimorbid Patients in Hong Kong.Journal of primary care & community healthArticle
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Authors and funding
3 authors.
Funding
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Abstract
backgroundThe present study describes how primary care can be improved for patients with multimorbidity, based on the evaluation of a patient-centered care (PCC) improvement program designed to foster the eight PCC dimensions (patient preferences, information and education, access to care, physical comfort, coordination of care, continuity and transition, emotional support, and family and friends). This study characterizes the interventions implemented in practice as part of the PCC improvement program and describes the experiences of healthcare professionals and patients with the resulting PCC delivery.
methodsThis study employed a mixed-methods design. Semi-structured interviews were conducted with nine general practitioners and nurse practitioners from seven primary care practices in Noord-Brabant, the Netherlands, that participated in the program (which included interventions and workshops). The qualitative interview data were examined using thematic analysis. A longitudinal survey was conducted with 138 patients with multimorbidity from these practices to assess perceived improvements in PCC and its underlying dimensions. Paired sample t tests were performed to compare survey responses obtained at a 1-year interval corresponding to program implementation.
resultsThe PCC improvement program is described, and themes necessary for PCC improvement according to healthcare professionals were generated [e.g. Aligning information to patients' needs and backgrounds, adapting a coaching role]. PCC experiences of patients with multimorbidity improved significantly during the year in which the PCC interventions were implemented (t = 2.66, p = 0.005).
conclusionThis study revealed how primary PCC can be improved for patients with multimorbidity. It emphasizes the importance of investing in PCC improvement programs to tailor care delivery to heterogenous patients with multimorbidity with diverse care needs. This study generates new perspectives on care delivery and highlights opportunities for its improvement according to the eight dimensions of PCC for patients with multimorbidity in a primary care setting.
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