The development of a prototype measure of the co-production of health in routine consultations for people with long-term conditions.

Autor: Realpe AX; Centre for Technology Enabled Health Research, Coventry University, Priory Street, Coventry CV1 5FB, UK. Electronic address: A.X.Realpe@warwick.ac.uk., Wallace LM; Centre for Technology Enabled Health Research, Coventry University, Priory Street, Coventry CV1 5FB, UK., Adams AE; Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK., Kidd JM; Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2015 Jul 08. Date of Electronic Publication: 2015 Jul 08.
DOI: 10.1016/j.pec.2015.07.005
Abstrakt: Objectives: (i) To develop a prototype measure of co-production of health (CPH) in consultations for people with long-term conditions (LTCs); and (ii) to undertake initial validation of it, using a measure of patient-centred care, as defined by the Roter interaction analysis system (RIAS).
Methods: Mixed methods were applied. A qualitative study gathered 11 experts' views on what comprised CPH behaviours. These were operationalised and a prototype measure applied to a convenience sample of 50 video-recorded consultations involving clinicians trained in self-management support and patients with LTCs at health services in six UK locations.
Results: Twenty-two CPH behaviours were identified. High frequencies of CPH behaviours in consultations were associated with greater patient-centeredness, less clinician verbal dominance, and more patient communication control in comparison to consultations where CPH behaviours were less frequent.
Conclusion: Although the CPH tool is promising, further testing is required in order to improve reliability and validity.
Practical Implications: In the future, the measure could be used to test interventions to promote patient participation in decision making about self-management.
(Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
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