Constand Marissa K, MacDermid Joy C, Dal Bello-Haas Vanina, Law Mary
School of Rehabilitation Science, McMaster University, 1400 Main Street West, L8S 1C7, Hamilton, Ontario, Canada.
BMC Health Serv Res. 2014 Jun 19;14:271. doi: 10.1186/1472-6963-14-271.
The purpose of this scoping review was to describe how three tenants of patient-centered care provision: communication, partnership, and health promotion are addressed in patient-centered care models/frameworks across the literature.
A scoping review of literature published in English since 1990 was conducted using Medline, CINAHL, and EMBASE. A key term search strategy was employed using "patient-centered care", "client-centered care", "framework" and "model" to identify relevant studies.
Application of the search strategy resulted in a hit total of 101 articles. Nineteen articles met inclusion criteria, of which 12 were review articles; 5 were qualitative research papers; one was a randomized control trial; and one was a prospective study. From these articles, 25 different patient-centered care frameworks/models were identified.
The fact that all identified approaches to patient-centered care incorporated strategies to achieve effective communication, partnership, and health promotion indicates that clinicians can select a patient-centered approach from the literature that best suits their patient's needs, and be confident that it will satisfy the three core elements of patient-centered care provision. While empirical literature on specific patient-centric frameworks and models was limited, much empiric evidence was sourced for the most consistently defined component of patient-centered care, communication.
本范围综述的目的是描述以患者为中心的护理服务的三个要素，即沟通、伙伴关系和健康促进，在文献中以患者为中心的护理模式/框架中是如何体现的。
使用Medline、CINAHL和EMBASE对自1990年以来以英文发表的文献进行范围综述。采用关键术语搜索策略，使用“以患者为中心的护理”、“以客户为中心的护理”、“框架”和“模式”来识别相关研究。
搜索策略的应用共产生了101篇文章。19篇文章符合纳入标准，其中12篇为综述文章；5篇为定性研究论文；1篇为随机对照试验；1篇为前瞻性研究。从这些文章中，识别出了25种不同的以患者为中心的护理框架/模式。
所有已识别的以患者为中心的护理方法都包含了实现有效沟通、伙伴关系和健康促进的策略，这一事实表明临床医生可以从文献中选择最适合其患者需求的以患者为中心的方法，并确信它将满足以患者为中心的护理服务的三个核心要素。虽然关于特定以患者为中心的框架和模式的实证文献有限，但以患者为中心的护理中定义最一致的组成部分——沟通，有大量的实证证据。
