التفاصيل البيبلوغرافية
| العنوان: |
Identifying Elements of Patient-Centered Care in Underserved Populations: A Qualitative Study of Patient Perspectives. |
| المؤلفون: |
Raja, Sheela, Hasnain, Memoona, Vadakumchery, Tracy, Hamad, Judy, Shah, Raveena, Hoersch, Michelle |
| المصدر: |
PLoS ONE; May2015, Vol. 10 Issue 5, p1-16, 16p |
| مصطلحات موضوعية: |
PATIENT-centered care, MEDICALLY underserved areas, DEHUMANIZATION, BODY language |
| الشركة/الكيان: |
UNIVERSITY of Illinois at Chicago |
| مستخلص: |
Patient-centered care is an important goal in the delivery of healthcare. However, many patients do not engage in preventive medical care. In this pilot study, we conducted twenty in depth, semi-structured qualitative interviews at the University of Illinois at Chicago Health Sciences campus in a four month time frame. Many patients were underserved and underinsured, and we wanted to understand their experiences in the healthcare system. Using content analysis, several themes emerged from the interview data. Participants discussed the need for empathy and rapport with their providers. They identified provider behaviors that fostered a positive clinical relationship, including step-by step explanations of procedures, attention to body language and clinic atmosphere, and appropriate time management. Participants identified cost as the most common barrier to engaging in preventive care and discussed children and social support as motivating factors. A long-term relationship with a provider was an important motivator for preventive care, suggesting that the therapeutic alliance was essential to many patients. Conversely, many participants discussed a sense of dehumanization in the healthcare system, reporting that their life circumstances were overlooked, or that they were judged based on insurance status or ethnicity. We discuss implications for provider training and healthcare delivery, including the importance of patient-centered medical homes. [ABSTRACT FROM AUTHOR] |
|
Copyright of PLoS ONE is the property of Public Library of Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder