How to measure person-centred practice – an analysis of reviews of the literature
Background: Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires clinicians to juggle three processes: facilitation, clinical reasoning and collaboration. How best to measure PcP in these processes remain...
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| Published in | African journal of primary health care & family medicine Vol. 12; no. 1; pp. 1 - 8 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
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South Africa
AOSIS
2020
African Online Scientific Information Systems (Pty) Ltd t/a AOSIS AOSIS (Pty) Ltd AOSIS Publishing |
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| Abstract | Background: Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires clinicians to juggle three processes: facilitation, clinical reasoning and collaboration. How best to measure PcP in these processes remains a challenge. Aim: To assess the measurement of facilitation and collaboration in selected reviews of PcP instruments. Methods: Ovid Medline and Google Scholar were searched for review articles evaluating measurement instruments of patient-centredness or person-centredness in the medical consultation. Results: Six of the nine review articles were selected for analysis. Those articles considered the psychometric properties and rigour of evaluation of reviewed instruments. Mostly, the articles did not find instruments with good evidence of reliability and validity. Evaluations in South Africa rendered poor psychometric properties. Tools were often not transferable to other sociocultural- linguistic contexts, both with and without adaptation. Conclusion: The multiplicity of measurement tools is a product of many dimensions of personcentredness, which can be approached from many perspectives and in many service scenarios inside and outside the medical consultation. Extensive research into the myriad instruments found no single valid and reliable measurement tool that can be recommended for general use. The best hope for developing one is to focus on a specific scenario, conduct a systematic literature review, combine the best items from existing tools, involve multiple disciplines and test the tool in real-life situations. |
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| AbstractList | Background: Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires clinicians to juggle three processes: facilitation, clinical reasoning and collaboration. How best to measure PcP in these processes remains a challenge. Aim: To assess the measurement of facilitation and collaboration in selected reviews of PcP instruments. Methods: Ovid Medline and Google Scholar were searched for review articles evaluating measurement instruments of patient-centredness or person-centredness in the medical consultation. Results: Six of the nine review articles were selected for analysis. Those articles considered the psychometric properties and rigour of evaluation of reviewed instruments. Mostly, the articles did not find instruments with good evidence of reliability and validity. Evaluations in South Africa rendered poor psychometric properties. Tools were often not transferable to other socio-cultural-linguistic contexts, both with and without adaptation. Conclusion: The multiplicity of measurement tools is a product of many dimensions of person-centredness, which can be approached from many perspectives and in many service scenarios inside and outside the medical consultation. Extensive research into the myriad instruments found no single valid and reliable measurement tool that can be recommended for general use. The best hope for developing one is to focus on a specific scenario, conduct a systematic literature review, combine the best items from existing tools, involve multiple disciplines and test the tool in real-life situations. Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires clinicians to juggle three processes: facilitation, clinical reasoning and collaboration. How best to measure PcP in these processes remains a challenge. To assess the measurement of facilitation and collaboration in selected reviews of PcP instruments. Ovid Medline and Google Scholar were searched for review articles evaluating measurement instruments of patient-centredness or person-centredness in the medical consultation. Six of the nine review articles were selected for analysis. Those articles considered the psychometric properties and rigour of evaluation of reviewed instruments. Mostly, the articles did not find instruments with good evidence of reliability and validity. Evaluations in South Africa rendered poor psychometric properties. Tools were often not transferable to other socio-cultural-linguistic contexts, both with and without adaptation. The multiplicity of measurement tools is a product of many dimensions of person-centredness, which can be approached from many perspectives and in many service scenarios inside and outside the medical consultation. Extensive research into the myriad instruments found no single valid and reliable measurement tool that can be recommended for general use. The best hope for developing one is to focus on a specific scenario, conduct a systematic literature review, combine the best items from existing tools, involve multiple disciplines and test the tool in real-life situations. Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires clinicians to juggle three processes: facilitation, clinical reasoning and collaboration. How best to measure PcP in these processes remains a challenge. To assess the measurement of facilitation and collaboration in selected reviews of PcP instruments. Ovid Medline and Google Scholar were searched for review articles evaluating measurement instruments of patient-centredness or person-centredness in the medical consultation. Six of the nine review articles were selected for analysis. Those articles considered the psychometric properties and rigour of evaluation of reviewed instruments. Mostly, the articles did not find instruments with good evidence of reliability and validity. Evaluations in South Africa rendered poor psychometric properties. Tools were often not transferable to other socio-cultural-linguistic contexts, both with and without adaptation. The multiplicity of measurement tools is a product of many dimensions of person-centredness, which can be approached from many perspectives and in many service scenarios inside and outside the medical consultation. Extensive research into the myriad instruments found no single valid and reliable measurement tool that can be recommended for general use. The best hope for developing one is to focus on a specific scenario, conduct a systematic literature review, combine the best items from existing tools, involve multiple disciplines and test the tool in real-life situations. Background: Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires clinicians to juggle three processes: facilitation, clinical reasoning and collaboration. How best to measure PcP in these processes remains a challenge. Aim: To assess the measurement of facilitation and collaboration in selected reviews of PcP instruments. Methods: Ovid Medline and Google Scholar were searched for review articles evaluating measurement instruments of patient-centredness or person-centredness in the medical consultation. Results: Six of the nine review articles were selected for analysis. Those articles considered the psychometric properties and rigour of evaluation of reviewed instruments. Mostly, the articles did not find instruments with good evidence of reliability and validity. Evaluations in South Africa rendered poor psychometric properties. Tools were often not transferable to other sociocultural- linguistic contexts, both with and without adaptation. Conclusion: The multiplicity of measurement tools is a product of many dimensions of personcentredness, which can be approached from many perspectives and in many service scenarios inside and outside the medical consultation. Extensive research into the myriad instruments found no single valid and reliable measurement tool that can be recommended for general use. The best hope for developing one is to focus on a specific scenario, conduct a systematic literature review, combine the best items from existing tools, involve multiple disciplines and test the tool in real-life situations. BACKGROUNDFacilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires clinicians to juggle three processes: facilitation, clinical reasoning and collaboration. How best to measure PcP in these processes remains a challenge.AIMTo assess the measurement of facilitation and collaboration in selected reviews of PcP instruments.METHODSOvid Medline and Google Scholar were searched for review articles evaluating measurement instruments of patient-centredness or person-centredness in the medical consultation.RESULTSSix of the nine review articles were selected for analysis. Those articles considered the psychometric properties and rigour of evaluation of reviewed instruments. Mostly, the articles did not find instruments with good evidence of reliability and validity. Evaluations in South Africa rendered poor psychometric properties. Tools were often not transferable to other socio-cultural-linguistic contexts, both with and without adaptation.CONCLUSIONThe multiplicity of measurement tools is a product of many dimensions of person-centredness, which can be approached from many perspectives and in many service scenarios inside and outside the medical consultation. Extensive research into the myriad instruments found no single valid and reliable measurement tool that can be recommended for general use. The best hope for developing one is to focus on a specific scenario, conduct a systematic literature review, combine the best items from existing tools, involve multiple disciplines and test the tool in real-life situations. BACKGROUND: Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires clinicians to juggle three processes: facilitation, clinical reasoning and collaboration. How best to measure PcP in these processes remains a challenge AIM: To assess the measurement of facilitation and collaboration in selected reviews of PcP instruments METHODS: Ovid Medline and Google Scholar were searched for review articles evaluating measurement instruments of patient-centredness or person-centredness in the medical consultation RESULTS: Six of the nine review articles were selected for analysis. Those articles considered the psychometric properties and rigour of evaluation of reviewed instruments. Mostly, the articles did not find instruments with good evidence of reliability and validity. Evaluations in South Africa rendered poor psychometric properties. Tools were often not transferable to other socio-cultural-linguistic contexts, both with and without adaptation CONCLUSION: The multiplicity of measurement tools is a product of many dimensions of person-centredness, which can be approached from many perspectives and in many service scenarios inside and outside the medical consultation. Extensive research into the myriad instruments found no single valid and reliable measurement tool that can be recommended for general use. The best hope for developing one is to focus on a specific scenario, conduct a systematic literature review, combine the best items from existing tools, involve multiple disciplines and test the tool in real-life situations |
| Audience | Academic |
| Author | Louw, Jakobus M Hugo, Johannes F.M Marcus, Tessa S |
| AuthorAffiliation | University of Pretoria |
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| References | ref0022 ref0021 Hugo (ref0014) 2005; 16 ref0020 ref0041 ref0004 ref0026 ref0003 ref0025 ref0002 ref0024 ref0001 ref0008 ref0029 ref0028 ref0027 Chesser (ref0033) 2013; 45 Van Tulder (ref0038) 2003; 28 ref0009 De Silva (ref0023) Louw (ref0031) 2020 Stewart (ref0007) 2005; 55 Stewart (ref0005) 2000; 49 Louw (ref0013) 2017; 9 ref0040 ref0011 ref0010 ref0032 ref0030 ref0037 ref0036 Weston (ref0017) 2001; 165 ref0012 ref0034 ref0019 ref0018 De Silva (ref0006) ref0039 ref0016 Greco (ref0035) 1999; 10 Hugo (ref0015) 2006; 48 Louw (ref0042) 2020 Chesser, A; Reyes, J; Woods, NK; Williams, K; Kraft, R 2013; 45 Entwistle, VA; Watt, IS 2013; 13 Hugo, J; Couper, I 2005; 16 Edvardsson, D; Innes, A 2010; 50 Schellingerhout, JM; Verhagen, AP; Heymans, MW; Koes, BW; de Vet, HC; Terwee, CB 2012; 21 Mead, N; Bower, P 2000; 51 Morgan, S; Yoder, LH 2012; 30 Arbuthnott, A; Sharpe, D 2009; 77 Reinders, ME; Blankenstein, AH; Knol, DL; de Vet, HCW; van Marwijk, HWJ 2009; 76 Stewart, M; Brown, JB; Donner, A 2000; 49 Saloojee, GM; Rosenbaum, PR; Westaway, MS; Stewart A, V 2009; 35 De Silva, D 2014 De Silva, D 2011 Hugo, J; Couper, ID 2006; 48 Mokkink, LB; Terwee, CB; Patrick, DL 2010; 19 Barry, MJ; Edgman-Levitan, S 2012; 366 Stewart, M 2005; 55 Greco, M; Cavanagh, M; Brownlea, A; McGovern, J 1999; 10 Sustersic, M; Gauchet, A; Kernou, A 2018; 13 Doyle, C; Lennox, L; Bell, D 2013; 3 Zill, JM; Christalle, E; Müller, E; Härter, M; Dirmaier, J; Scholl, I 2014; 9 Al-Jabr, H; Twigg, MJ; Scott, S; Desborough, JA 2018; 101 Louw, JM; Hugo, JF 2020 Wilberforce, M; Challis, D; Davies, L; Kelly, MP; Roberts, C; Loynes, N 2016; 16 McMillan, SS; Kendall, E; Sav, A 2013; 70 Louw, JM; Marcus, TS; Hugo, JF 2017; 9 Bieber, C; Müller, KG; Nicolai, J; Hartmann, M; Eich, W 2010; 17 Little, P; Everitt, H; Williamson, I 2001; 323 Zandbelt, LC; Smets EM, a; Oort, FJ; De Haes, HCJM 2005; 61 Scholl, I; Kirston, L; Dirmaier, J; Harter, M 2012; 18 Martin, LR; DiMatteo, MR; Lepper, HS 2001; 27 Olsson, L-E; Jakobsson Ung, E; Swedberg, K; Ekman, I 2013; 22 Louw, JM; Marcus, TS; Hugo, JF 2020 Illingworth, R 2010; 7 Gärtner, FR; Bomhof-Roordink, H; Smith, IP; Scholl, I; Stiggelbout, AM; Pieterse, AH 2018; 13 Hudon, C; Fortin, M; Haggerty, JL; Lambert, M; Poitras, M-E 2011; 9 Van Tulder, M; Furlan, A; Bombardier, C; Bouter, L 1976; 28 Van Weel-Baumgarten, EM; Brouwers, MH 2011; 1 Mead, N; Bower, P 2002; 48 Brouwers, M; Rasenberg, E; van Weel, C; Laan, R; van Weel-Baumgarten, E 2017; 51 Weston, WW 2001; 165 Archer, E; Bezuidenhout, J; Kidd, M; Van Heerden, BB 2014; 6 |
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| Snippet | Background: Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation... Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires clinicians... Background Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires... BACKGROUNDFacilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires... BACKGROUND: Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation... |
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| SubjectTerms | Biology Collaboration Health care costs Health care industry Health care reform Health Care Sciences & Services Health insurance Measurement instruments Measuring instruments Medical consultation Medical economics Medicine, General & Internal National health insurance Patient satisfaction Patient-centeredness Person-centeredness Psychometric properties Quality Quantitative psychology Reasoning Retirement benefits Review Validity |
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| Title | How to measure person-centred practice – an analysis of reviews of the literature |
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