Evidence map›Paper›PMID 35501096›Full record

ArticleBMJ open2022

Who is at the centre of what? A scoping review of the conceptualisation of 'centredness' in healthcare.

Elizabeth Ann Sturgiss, Annette Peart, Lauralie Richard, Lauren Ball, Liesbeth Hunik, Tze Lin Chai, Steven Lau, Danny Vadasz, Grant Russell, Moira Stewart

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Definitions of Person-Centeredness for Persons With Dementia in the United States: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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  16. Multimorbidity and person-centred care in a socioeconomically deprived community: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Elizabeth Ann SturgissSchool of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia liz.sturgiss@monash.edu.ORCID 0000-0003-4428-4060
Annette PeartEastern Health Clinical School, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-0536-276X
Lauralie RichardDepartment of General Practice and Rural Health, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-2497-3857
Lauren BallMenzies Health Institute Queensland, Griffith University,School of Public Health, Southport, Queensland, Australia.
Liesbeth HunikDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Tze Lin ChaiSchool of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.
Steven LauDepartment of Physiotherapy, Monash University, Melbourne, Victoria, Australia.
Danny VadaszHealth Issues Centre, Melbourne, Victoria, Australia.
Grant RussellDepartment of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0003-3773-2355
Moira StewartDepartment of Family Medicine, Centre for Studies in Family Medicine, Western University, London, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to identify the core elements of centredness in healthcare literature. Our overall research question is: How has centredness been represented within the health literature published between 1990 and 2019?

methodsA scoping review across five databases (Medline (Ovid), PsycINFO, CINAHL, Embase (Ovid) and Scopus; August 2019) to identify all peer-reviewed literature published since 1990 that focused on the concept of centredness in any healthcare discipline or setting. Screening occurred in duplicate by a multidisciplinary, multinational team. The team met regularly to iteratively develop and refine a coding template that was used in analysis and discuss the interpretations of centredness reported in the literature.

resultsA total of 23 006 title and abstracts, and 499 full-text articles were screened. A total of 159 articles were included in the review. Most articles were from the USA, and nursing was the disciplinary perspective most represented. We identified nine elements of centredness: Sharing power; Sharing responsibility; Therapeutic relationship/bond/alliance; Patient as a person; Biopsychosocial; Provider as a person; Co-ordinated care; Access; Continuity of care. There was little variation in the concept of centredness no matter the preceding word (eg, patient-/person-/client-), healthcare setting or disciplinary lens. Improving health outcomes was the most common justification for pursuing centredness as a concept, and respect was the predominant driving value of the research efforts. The patient perspective was rarely included in the papers (15% of papers).

conclusionsCentredness is consistently conceptualised, regardless of the preceding word, disciplinary lens or nation of origin. Further research should focus on centring the patient perspective and prioritise research that considers more diverse cultural perspectives.

Indexed as

Concept FormationPatient-Centered CareDelivery of Health CareHealth FacilitiesHumansEDUCATION & TRAINING (see Medical Education & Training)ETHICS (see Medical Ethics)PREVENTIVE MEDICINEPRIMARY CAREQuality in health care

Identifiers

PMID35501096
PMCPMC9062794

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.