Khosravi Mohsen, Shojaei Payam, Kavosi Zahra, Ravangard Ramin, Gooshki Ehsan Shamsi, Marzaleh Milad Ahmadi, Delavari Sajad
Student Research Committee, Department of Health Services Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Fars Province, Iran.
Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, South Khorasan Province, Iran.
J Eval Clin Pract. 2025 Apr;31(3):e70073. doi: 10.1111/jep.70073.
Research on patient-centeredness in managing chronic diseases like cancer, diabetes, stroke, and heart disorders is gaining prominence. This approach in chronic disease management involves various dimensions and elements, the importance of which has been presented to differ.
The present research, carried out in the year 2023, aimed to identify and prioritize existing dimensions and elements of patient-centered care for chronic diseases.
Firstly, multiple databases including the Cochrane Database of Systematic Reviews, Scopus, PubMed and ProQuest were searched. Secondly, 35 chronic patients were interviewed; Finally, a sample of 30 experts familiar with the context was asked to rank the dimensions and elements of patient-centered care using Best-Worst method.
The study identified 6 dimensions and 13 elements of patient-centered care in chronic diseases. The findings indicated that accessibility, quality, education, timeliness and affordability were the five elements that ranked highest in importance for designing and implementing patient-centered care interventions for chronic diseases.
The results presented that Iranian patients with chronic diseases exhibit a positive attitude towards paternalistic behavior and often prefer others to make the best therapeutic decisions on their behalf. Our research revealed that the concept of patient-centered care differs across regions and cultures, highlighting the need for policymakers and researchers to adapt strategies to the specific characteristics of local populations around the globe.
关于以患者为中心管理癌症、糖尿病、中风和心脏病等慢性病的研究日益突出。这种慢性病管理方法涉及多个维度和要素，其重要性已被证明存在差异。
2023年开展的本研究旨在确定慢性病以患者为中心护理的现有维度和要素，并对其进行优先级排序。
首先，检索了多个数据库，包括Cochrane系统评价数据库、Scopus、PubMed和ProQuest。其次，对35名慢性病患者进行了访谈；最后，邀请30名熟悉该背景的专家样本使用最佳-最差法对以患者为中心护理的维度和要素进行排序。
该研究确定了慢性病以患者为中心护理的6个维度和13个要素。研究结果表明，可及性、质量、教育、及时性和可承受性是为慢性病设计和实施以患者为中心护理干预措施时最重要的五个要素。
结果表明，伊朗慢性病患者对家长式行为持积极态度，通常更愿意让他人为他们做出最佳治疗决策。我们的研究表明，以患者为中心护理的概念在不同地区和文化中存在差异，这凸显了政策制定者和研究人员需要根据全球各地当地人群的具体特征调整策略。
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