Interventions for providers to promote a patient-centred approach in clinical consultations (Review)

Interventions for providers to promote a patient-centred approach in clinical consultations (Review)

2001, Issue 4 | Lewin S, Skea Z, Entwistle VA, Zwarenstein M, Dick J
This review, published by The Cochrane Collaboration in 2001, evaluates interventions aimed at promoting patient-centered approaches in clinical consultations. The review assesses the effects of interventions for healthcare providers that encourage a patient-centered philosophy, which involves shared control of consultations and a focus on the patient as a whole person. The studies included in the review were primarily randomized controlled trials, controlled clinical trials, controlled before-and-after studies, and interrupted time series studies. The interventions varied widely in their intensity and content, but all included training for healthcare providers. The review found that some interventions significantly increased the patient-centeredness of consultation processes, with 12 out of 14 studies showing improvements in these outcomes. Additionally, there was some evidence that training healthcare providers in patient-centered approaches positively impacted patient satisfaction with care, with 6 out of 11 studies demonstrating significant differences in favor of the intervention group. However, few studies examined healthcare behaviors or health status outcomes. The review concludes that interventions to promote patient-centered care within clinical consultations may significantly enhance patient-centeredness, but there is limited and mixed evidence on their effects on healthcare behaviors, health status, or applicability to providers other than physicians. Further research is needed in these areas.This review, published by The Cochrane Collaboration in 2001, evaluates interventions aimed at promoting patient-centered approaches in clinical consultations. The review assesses the effects of interventions for healthcare providers that encourage a patient-centered philosophy, which involves shared control of consultations and a focus on the patient as a whole person. The studies included in the review were primarily randomized controlled trials, controlled clinical trials, controlled before-and-after studies, and interrupted time series studies. The interventions varied widely in their intensity and content, but all included training for healthcare providers. The review found that some interventions significantly increased the patient-centeredness of consultation processes, with 12 out of 14 studies showing improvements in these outcomes. Additionally, there was some evidence that training healthcare providers in patient-centered approaches positively impacted patient satisfaction with care, with 6 out of 11 studies demonstrating significant differences in favor of the intervention group. However, few studies examined healthcare behaviors or health status outcomes. The review concludes that interventions to promote patient-centered care within clinical consultations may significantly enhance patient-centeredness, but there is limited and mixed evidence on their effects on healthcare behaviors, health status, or applicability to providers other than physicians. Further research is needed in these areas.
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