The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting

• Published in: BMC health services research Vol. 19; no. 1; pp. 13 - 9
• Main Authors: Kuipers, Sanne Jannick, Cramm, Jane Murray, Nieboer, Anna Petra
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 08.01.2019; BioMed Central; BMC
• Subjects: Aged; Aged, 80 and over; Analysis; Cancer; Chronic illnesses; Chronic obstructive pulmonary disease; Clinical outcomes; Co-creation of care; Communication; Cross-Sectional Studies; Delivery of Health Care - standards; Diabetes; Disease; Family medicine; Female; Health care access; Health services; Human subjects; Humans; Joint surgery; Male; Management; Medical personnel; Medical practices; Medical research; Middle Aged; Morbidity; Mortality; Multi-morbidity; Multimorbidity; Netherlands; Patient care; Patient education; Patient satisfaction; Patient Satisfaction - statistics & numerical data; Patient-centered care; Patient-Centered Care - methods; Patient-Centered Care - standards; Physical well-being; Primary care; Primary health care; Primary Health Care - methods; Primary Health Care - standards; Problem solving; Quality of life; Questionnaires; Social well-being; Systematic review; Well being; Netherlands; Social well-being; Co-creation of care; Patient-centered care; Multi-morbidity; Satisfaction with care; Primary care; Physical well-being
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-018-3818-y

Patients with multi-morbidity have complex care needs that often make healthcare delivery difficult and costly to manage. Current healthcare delivery is not tailored to the needs of patients with multi-morbidity, although multi-morbidity poses a heavy burden on patients and is related to adverse outcomes. Patient-centered care and co-creation of care are expected to improve outcomes, but the relationships among patient-centered care, co-creation of care, physical well-being, social well-being, and satisfaction with care among patients with multi-morbidity are not known. In 2017, a cross-sectional survey was conducted among 216 (of 394 eligible participants; 55% response rate) patients with multi-morbidity from eight primary care practices in Noord-Brabant, the Netherlands. Correlation and regression analyses were performed to identify relationships among patient-centered care, co-creation of care, physical well-being, social well-being, and satisfaction with care. The mean age of the patients was 74.46 ± 10.64 (range, 47-94) years. Less than half (40.8%) of the patients were male, 43.3% were single, and 39.3% were less educated. Patient-centered care and co-creation of care were correlated significantly with patients' physical well-being, social well-being, and satisfaction with care (all p ≤ 0.001). Patient-centered care was associated with social well-being (B = 0.387, p ≤ 0.001), physical well-being (B = 0.368, p ≤ 0.001) and satisfaction with care (B = 0.425, p ≤ 0.001). Co-creation of care was associated with social well-being (B = 0.112, p = 0.006) and satisfaction with care (B = 0.119, p = 0.007). Patient-centered care and co-creation of care were associated positively with satisfaction with care and the physical and social well-being of patients with multi-morbidity in the primary care setting. Making care more tailored to the needs of patients with multi-morbidity by paying attention to patient-centered care and co-creation of care may contribute to better outcomes.