[How to assess Person-Centered Care according to professionals? A Delphi study].
| Autor: | Pascual López JA; Centro de Salud docente de Calasparra, Servicio Murciano de Salud (SMS), Murcia, España. Electronic address: japascuallopez@gmail.com., Gil Pérez T; Centro de Salud docente Mariano Yago Yecla, SMS, Murcia, España., Sánchez Sánchez JA; Grupo de Trabajo de Medicina Basada en la Evidencia de la Sociedad Murciana y Española de Medicina de Familia y Comunitaria, Murcia, España., Menárguez Puche JF; Grupo de Trabajo de Medicina Basada en la Evidencia de la Sociedad Murciana y Española de Medicina de Familia y Comunitaria, Murcia, España; Centro de Salud docente Profesor Jesús Marín Molina de Segura, SMS, Murcia, España. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Atencion primaria [Aten Primaria] 2022 Jan; Vol. 54 (1), pp. 102232. Date of Electronic Publication: 2021 Nov 17. |
| DOI: | 10.1016/j.aprim.2021.102232 |
| Abstrakt: | Objectives: To know the perspective of professionals on aspects and dimensions that should be an indispensable part of Person-Centered Care (PCA). Design: Delphi Technique. Location: Primary Care. Participants: 74 medical experts specializing in family and community medicine (FM), teaching tutors, psychologists and sociologists distributed throughout the national territory (January-June 2015). Methods: They responded to three questionnaires: first, on aspects that a FP should take into account to carry out PCA in all its dimensions. In the second, they asked about the degree of agreement with each item and dimension in which it was classified. The responses were prioritized in a third questionnaire (Likert scale, score range 1-10). Results: The response rate (RR) to the 1st questionnaire was 54.05%, obtaining 84 items, the most frequent Respect and Comprehensive Attention. The 2nd questionnaire with RR = 48.6%, obtained 52 items with a degree of agreement greater than 75%. The RR of the 3rd questionnaire was 52.7%, obtaining 21 items with a score> 9. The highest values corresponded to essential aspects of PCA: respect, comprehensive care, biopsychosocial approach, patient autonomy, and participation in decision-making. Conclusions: New dimensions were identified: Prevention and health promotion, Resource Management and Clinical Competence, added to those previously described: Biopsychosocial perspective, Doctor as a person, Patient as a person, Doctor-patient relationship and Shared Power and Responsibility. Respect, comprehensive care, the biopsychosocial approach, the patient's autonomy and their participation in decision-making, are the most valued aspects among those selected by the participating professionals. (Copyright © 2021 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.) |
| Databáze: | MEDLINE |
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