Department of Family Medicine, School of Public Health and Family Medicine, University of Malawi, Blantyre, Malawi; and, Department of Public Health, School of Public Health, University of the Witwatersrand, Johannesburg.
Afr J Prim Health Care Fam Med. 2021 Sep 20;13(1):e1-e10. doi: 10.4102/phcfm.v13i1.2755.
Patient-centred care (PCC) is one of the pillars of Malawi's quality of care policy initiatives. The role of PCC in facilitating quality service delivery is well documented, and its importance may heighten in chronic disease management. Yet, PCC conceptualisation is known to be context specific.
The study aimed to understand the conceptualisation of PCC amongst patients, healthcare providers (HCP) and policy makers in Diabetes Mellitus (DM) management.
This study was conducted in DM clinics in Southern Malawi.
Our qualitative exploratory research study design used in-depth and focus group interviews. We interviewed patients with DM, HCPs and policy makers. The study used framework analysis guided by Mead and Bower's work.
Patient-centred care conceptualisations from groups of participants showed convergence. However, they differed in emphasis in some elements. The prominent themes emerging from the participants' conceptualisation of PCC included the following: meeting individual needs, goals and expectations, accessing medication, supporting relationship building, patient involvement, information sharing, holistic care, timeliness and being realistic.
Patient-centred care conceptualisation in Malawi goes beyond the patient-HCP relational framework to include the technical aspects of care. Contrary to the global view, accessing medication and timeliness are major elements in PCC conceptualisation in Malawi. Whilst PCC conceptualisation is contextual, meeting expectations and needs of patients is fundamental.
以患者为中心的护理（PCC）是马拉维质量护理政策倡议的支柱之一。PCC 在促进优质服务提供方面的作用已有充分记录，其重要性在慢性病管理中可能会提高。然而，众所周知，PCC 的概念化是特定于情境的。
本研究旨在了解糖尿病管理中患者、医疗保健提供者（HCP）和政策制定者对 PCC 的概念化。
本研究在马拉维南部的糖尿病诊所进行。
我们的定性探索性研究设计使用了深入访谈和焦点小组访谈。我们采访了糖尿病患者、HCP 和政策制定者。该研究使用了 Mead 和 Bower 工作指导的框架分析。
来自不同群体参与者的 PCC 概念化表现出趋同。然而，它们在某些元素上的强调有所不同。参与者对 PCC 的概念化中出现的突出主题包括：满足个人需求、目标和期望、获得药物、支持关系建立、患者参与、信息共享、整体护理、及时性和现实性。
马拉维的以患者为中心的护理概念化不仅限于患者-HCP 关系框架，还包括护理的技术方面。与全球观点相反，在马拉维，获得药物和及时性是 PCC 概念化的主要元素。虽然 PCC 的概念化是情境的，但满足患者的期望和需求是基础。
