Department for People and Technology, Centre for Health Promotion Research, Roskilde University Roskilde, Denmark.
Centre for Nutrition and Rehabilitation, Department of Physiotherapy, University College Absalon, Roskilde, Denmark.
Physiother Theory Pract. 2022 Dec;38(12):1843-1856. doi: 10.1080/09593985.2021.1923095. Epub 2021 Jun 7.
Research on patient-centeredness within physiotherapy points to a need for clarification about what the concept entails in science and practice and how research positions itself within health care. Thus, the aim is to systematically map the characteristics of research on patient-centeredness in physiotherapy and critically discuss the dominant understandings within.
A systematic research mapping was carried out, based on searches in leading bibliographic databases. Four categories were selected in order to characterize the research field: focus, design, theoretical approach and inherent logic.
Of 5,324 studies, 101 were included in the final mapping, pointing to a limited amount of research. The papers included were published in 47 different journals. Two major research foci emerges: one testing or developing technologies (tools) to promote patient-centeredness and one exploring patients' or professionals' experiences related to physiotherapy practice. Most papers reported on empirical research and there seems to be a dearth of conceptual papers. The theoretical approaches applied were mainly psychological, pedagogical and biomedical. The papers included were divided into equal amounts of studies carried out within inherent logics of causality and complexity.
The mapping suggests an incipient awareness of patient-centeredness within the research field of physiotherapy. Empirical studies dominate the field, whereas conceptual and critical papers seem in need of wider acknowledgment. The research field is divided into two mutually disconnected trends: one concerned with understanding the complexity of clinical practice and patients' experiences of treatment and illness, and another trend concerned with solving "the problem" of patient involvement.
物理治疗领域内有关以患者为中心的研究表明，需要明确该概念在科学和实践中的含义，以及研究在医疗保健中的定位。因此，本研究旨在系统地绘制物理治疗中以患者为中心的研究特征，并批判性地讨论其中占主导地位的理解。
基于对主要文献数据库的搜索，开展了系统的研究制图。为了描述研究领域，选择了四个类别：重点、设计、理论方法和内在逻辑。
在 5324 项研究中，有 101 项被纳入最终的制图中，这表明研究数量有限。这些论文发表在 47 种不同的期刊上。有两个主要的研究重点：一个是测试或开发促进以患者为中心的技术（工具），另一个是探索患者或专业人员与物理治疗实践相关的经验。大多数论文报告的是实证研究，似乎缺乏概念性论文。应用的理论方法主要是心理学、教育学和生物医学。纳入的论文分为基于因果关系和复杂性内在逻辑的研究数量相等。
制图表明，以患者为中心在物理治疗的研究领域中已经有了初步的认识。实证研究主导着该领域，而概念性和批判性论文似乎需要更广泛的认可。该研究领域分为两个相互脱节的趋势：一个趋势关注于理解临床实践的复杂性和患者对治疗和疾病的体验，另一个趋势关注于解决患者参与的“问题”。
