A new model of patient-centred care for general practitioners: results of an integrated review

Bryce Brickley, Ishtar Sladdin, Williams lauren, Mark Morgan, Alyson Ross, Kellie Trigger, Lauren Ball

Research output: Contribution to journalArticleResearchpeer-review

12 Downloads (Pure)

Abstract

Background
GPs providing patient-centred care (PCC) is embedded in international health care policies due to its positive impact on patients and potential to lower health care costs. However, what is currently known about GP-delivered PCC is unknown.

Objective
To synthesize literature investigating GP-delivered PCC and address ‘what is currently known about GP-delivered PCC?’

Method
A systematic literature search was conducted between June and July 2018. Eligible articles were empirical, full-text studies published in English between January 2003 and July 2018, related to at least three of the four dimensions of PCC described by Hudon et al. (2011), and related to preventative, acute, and/or chronic care by GPs. Following screening, full-text articles were independently assessed for inclusion by two investigators. Data were extracted and quality assessed by two researchers. Findings on PCC were analysed thematically (meta-synthesis).

Results
Thirty medium- to high-quality studies met the inclusions criteria. Included studies utilized varied designs, with the most frequent being quantitative, cross-sectional. A theoretical model of PCC was synthesized from included studies and contained four major components: (i) understanding the whole person, (ii) finding common ground, (iii) experiencing time and (iv) aiming for positive outcomes. Harms of PCC were rarely reported.

Conclusions
Four overarching theoretical components of PCC relate to elements of the consultation and experience of time. These components can be used to inform the development of toolkits to support GPs and general practice organizations in pursuit of PCC as well as tools to measure patient-centredness.
Original languageEnglish
Article numbercmz063
Pages (from-to)154-172
Number of pages19
JournalFamily Practice
Volume37
Issue number2
Early online date31 Oct 2019
DOIs
Publication statusPublished - Apr 2020

Fingerprint Dive into the research topics of 'A new model of patient-centred care for general practitioners: results of an integrated review'. Together they form a unique fingerprint.

Cite this