Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Nursing Department, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia.
BMC Health Serv Res. 2023 Feb 9;23(1):135. doi: 10.1186/s12913-023-09132-0.
The need for patient centered care (PCC) and its subsequent implementation has gained policy maker attention worldwide. Despite the evidence showing the benefits and the challenges associated with practicing PCC in western countries there has been no comprehensive review of the literature on PCC practice in the Middle East and North African (MENA) region, yet there is good reason to think that the practices of PCC in these regions would be different.
This paper summarizes the existing research on the practice of PCC in the MENA region and uses this analysis to consider the key elements of a PCC definition based on MENA cultural contexts.
Five electronic databases were searched (EMBASE, Cochrane, Medline, CINAHL and Scopus) using the search terms: patient OR person OR client OR consumer AND centered OR centred AND care. The MENA countries included were Bahrain, Iran, Iraq, Jordan, Kuwait, Lebanon, Oman, Palestine, Israel, Qatar, Saudi Arabia, Syria, United Arab Emirates, Yemen, Algeria, Egypt, Libya, Morocco, Tunisia, Djibouti, Pakistan, Sudan, and Turkey. Identified papers were imported to Covidence where they were independently reviewed against the inclusion criteria by two authors. The following data were extracted for each paper: author, year, location (i.e., country), objectives, methodology, study population, and results as they related to patient centred care.
The electronic search identified 3582 potentially relevant studies. Fifty articles met the inclusion criteria. Across all papers five themes were identified: 1) patient centered care principles; 2) patient and physician perceptions of PCC; 3) facilitators of PCC; 4) implementation and impact of PCC; and 5) barriers to PCC.
The preliminary findings suggest that the concept of PCC is practiced and supported to a limited extent in the MENA region, and that the implementation of PCC might be impacted by the cultural contexts of the region. Our review therefore highlights the importance of establishing patient-centered care definitions that clearly incorporate cultural practices in the MENA region. The elements and impact of culture in the MENA region should be investigated in future research.
以患者为中心的护理（PCC）及其后续实施已引起全球政策制定者的关注。尽管有证据表明在西方国家实施 PCC 的益处和挑战，但在中东和北非（MENA）地区，尚未对 PCC 实践的文献进行全面审查，但有充分的理由认为这些地区的 PCC 实践会有所不同。
本文总结了 MENA 地区 PCC 实践的现有研究，并利用这一分析来考虑基于 MENA 文化背景的 PCC 定义的关键要素。
使用以下搜索词在五个电子数据库（EMBASE、Cochrane、Medline、CINAHL 和 Scopus）中进行搜索：患者或人或客户或消费者和以患者为中心或以患者为中心和护理。纳入的 MENA 国家包括巴林、伊朗、伊拉克、约旦、科威特、黎巴嫩、阿曼、巴勒斯坦、以色列、卡塔尔、沙特阿拉伯、叙利亚、阿拉伯联合酋长国、也门、阿尔及利亚、埃及、利比亚、摩洛哥、突尼斯、吉布提、巴基斯坦、苏丹和土耳其。确定的论文被导入 Covidence，由两名作者独立审查其是否符合纳入标准。从每篇论文中提取以下数据：作者、年份、地点（即国家）、目标、方法、研究人群和与以患者为中心的护理相关的结果。
电子搜索确定了 3582 篇潜在相关的研究。有 50 篇文章符合纳入标准。在所有论文中，确定了五个主题：1）以患者为中心的护理原则；2）患者和医生对 PCC 的看法；3）促进 PCC 的因素；4）PCC 的实施和影响；5）PCC 的障碍。
初步结果表明，在 MENA 地区，PCC 的概念在一定程度上得到了实践和支持，而 PCC 的实施可能受到该地区文化背景的影响。因此，我们的审查强调了在 MENA 地区建立明确纳入文化实践的以患者为中心的护理定义的重要性。应该在未来的研究中调查 MENA 地区文化的元素和影响。
