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KMID : 1031020190250020026
Quality Improvement in Health Care
2019 Volume.25 No. 2 p.26 ~ p.43
Conceptual Constructs of Patient Centeredness: Perspective of Patients and Family Members
Kim Un-Na

Ock Min-Su
Shin Yu-Kyung
Jo Min-Woo
Lee Jin-Yong
Do Young-Kyung
Abstract
Purpose: The objective of this study was to identify the conceptual constructs of patient centeredness from the perspective of patients and family members in Korea, and to compare them with those included in the Picker Institute framework.

Methods: Two focus group discussions were conducted. Each focus group consisted of six participants who had experienced being either a patient or a caregiver. We carried out a thematic analysis, and then compared the contents of our focus group discussions with the components of patient-centered care outlined by the Picker Institute.

Results: Six conceptual constructs of patient centeredness emerged from the focus group discussions. Five of these overlapped with those outlined by the Picker Institute: 1)respect for patients¡¯ values, preferences, and needs, 2) coordination and integration of care, 3) information, communication, and education, 4) physical comfort, and 5) emotional support and alleviation for fear and anxiety. A new component that was not mentioned in the Picker Institute framework emerged from this study: ¡°ease of making a complaint.¡± Currently, ¡°involvement of family and friends¡± and ¡°continuity and transition¡± were not prominent components of patient centeredness according to our focus group discussions.

Conclusions: This study presents the conceptual constructs of patient centeredness, five of which overlap with those outlined by the Picker Institute, and provides a qualitative basis of the patient experience survey currently being implemented by the Health Insurance Review & Assessment Service in Korea.
KEYWORD
Patient centeredness, Patient experience, Focus groups, Qualitative research
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