Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia.
Front Public Health. 2022 Jun 14;10:912137. doi: 10.3389/fpubh.2022.912137. eCollection 2022.
Older adults represent the largest consumers of health care. It is, therefore, important that they receive adequate patient-centered care to empower them to be proactive in managing their health.
This study examined the proportion of older community-dwelling individuals who report receiving patient-centered care during healthcare consultations.
A cross-sectional study was conducted with 117 clients of an Australian aged care provider. Clients completed a survey examining their perceptions of whether they received patient-centered care (11-items) from healthcare professionals.
The mean number of patient-centered care items reported was 8.7 (±3.1). Speaking to the patient with respect was the item most often reported to be patient-centered (94%). Asking patients about treatment goals or expectations (62%) and how involved they would like to be in treatment (67%) were the items least reported to be patient-centered.
Older adults perceived some important aspects of care were not provided with a patient-centered approach. There is a need to improve healthcare providers' elicitation of older patients' care preferences, enabling patients to determine their level of involvement in their health management.
老年人是医疗保健的最大消费者。因此,为了赋予他们积极管理自身健康的能力,为他们提供充分的以患者为中心的护理至关重要。
本研究调查了在医疗保健咨询期间报告接受以患者为中心的护理的老年社区居民的比例。
对澳大利亚老年护理机构的 117 名客户进行了横断面研究。客户完成了一项调查,调查他们对是否从医疗保健专业人员那里获得以患者为中心的护理(11 项)的看法。
报告的以患者为中心的护理项目的平均数量为 8.7(±3.1)。尊重患者是最常被报告为以患者为中心的项目(94%)。询问患者关于治疗目标或期望(62%)以及他们希望在多大程度上参与治疗(67%)是报告最少的以患者为中心的项目。
老年人认为一些重要的护理方面没有以以患者为中心的方式提供。需要提高医疗保健提供者了解老年患者护理偏好的能力,使患者能够确定自己在健康管理中的参与程度。