School of Health, Care and Social Welfare, Mälardalen University, Postbox 883, SE-72123, Sweden.
School of Health, Care and Social Welfare, Mälardalen University, Postbox 883, SE-72123, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Sweden.
Patient Educ Couns. 2019 Jan;102(1):3-11. doi: 10.1016/j.pec.2018.08.029. Epub 2018 Aug 26.
To provide a synthesis of already synthesized literature on person-centered care and patient-centered care in order to identify similarities and differences between the two concepts.
A synthesis of reviews was conducted to locate synthesized literature published between January 2000 and March 2017. A total of 21 articles deemed relevant to this overview were synthesized using a thematic analysis.
The analysis resulted in nine themes present in person-centered as well as in patient-centered care: (1) empathy, (2), respect (3), engagement, (4), relationship, (5) communication, (6) shared decision-making, (7) holistic focus, (8), individualized focus, and (9) coordinated care. The analysis also revealed that the goal of person-centered care is a meaningful life while the goal of patient-centered care is a functional life.
While there are a number of similarities between the two concepts, the goals for person-centered and patient-centered care differ. The similarities are at the surface and there are important differences when the concepts are regarded in light of their different goals.
Clarification of the concepts may assist practitioners to develop the relevant aspects of care. Person-centered care broadens and extends the perspective of patient-centered care by considering the whole life of the patient.
综合已发表的关于以患者为中心的护理和以患者为中心的护理的文献，以确定这两个概念之间的异同。
对综述进行综合分析，以确定 2000 年 1 月至 2017 年 3 月期间发表的综合文献。采用主题分析综合了 21 篇被认为与本综述相关的文章。
分析产生了以患者为中心和以患者为中心的护理中存在的九个主题：（1）同理心，（2）尊重，（3）参与，（4）关系，（5）沟通，（6）共同决策，（7）整体重点，（8）个体化重点和（9）协调护理。分析还表明，以患者为中心护理的目标是有意义的生活，而以患者为中心护理的目标是功能性的生活。
虽然这两个概念有许多相似之处，但以患者为中心和以患者为中心的护理的目标不同。相似之处是表面的，当从不同的目标来看待这两个概念时，就会存在重要的差异。
澄清这些概念可能有助于临床医生发展相关的护理方面。以患者为中心的护理通过考虑患者的整个生活，拓宽和扩展了以患者为中心的护理的视角。
