An empirical study of patient-centered hospital clinical process: dimensions, antecedents and outcomes
Year: 2016
Type: dissertation
Study design: Observational Study
Abstract: Differing from disease-center or physician-centered clinical practice, patient-centered practice emphasizes patients' individual differences, patient participation in clinical decision-making, physician-patient communication, and patient experience and satisfaction in the treatment process. Focusing on the patient-centered practice in Chinese hospitals, this study aims to answer three research questions: What constitutes a patient-centered clinical process? How do different patient-centered clinical process dimensions affect patient-based outcomes? What are the antecedents that determine the different patient-centered clinical process dimensions? A variety of qualitative and quantitative research methods were used, including literature analysis, case study, factor analysis, and linear regression analysis. In our study, patient-centered clinical processes defined as a clinical process that contributes to a cooperative partnership between healthcare personnel, patients and their families, to ensure that clinical decisions can respect the patient's needs, ideas and wishes, and that the patients are entitled to have access to education and support needed in decision making, prompting patients to participate in clinical processes, so that they get a better perceived value and service experience. The core of patient-centered clinical process is the interactive and collaborative partnership of physicians, nurses, and patients, which can be expressed as a number of patient-perceived dimensions, including diagnosis and treatment, nursing, communication, management and information. This study theoretically added insights on the definition and core dimensions of the patient-centered clinical process, the relationship between different dimensions and the patient outcome, especially within the context of a unique health system in China. These findings and conclusions could be useful for management practice in Chinese hospitals. However, these implications may be limited due to the small data collection sample and cross-sectional study design.
Source: Repositório do ISCTE-IUL
Author: Xu Xin
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2535738927