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Does patient-centered care help people with many conditions feel better?

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Among 216 Dutch primary-care patients with multi-morbidity, patient-centered and co-created care tracked with better physical/social well-being and higher care satisfaction.

Source

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

Kuipers SJ, Cramm JM, Nieboer AP · BMC health services research · 2019

doi.org/10.1186/s12913-018-3818-yRead the full paper ↗243 citationscc by

Study at a glance

Design
Cross-sectional — Survey of multi-morbidity patients in Dutch primary care; correlation/regression
N
N=216 · 216 of 394 eligible (55% response) from eight practices
Population
Adults with multi-morbidity in Noord-Brabant primary care
Outcome
Associations of patient-centered and co-created care with well-being and satisfaction

Structured fields used in claim comparison tables when every cited study has a complete layer.

What they did

In 2017 they surveyed multi-morbidity patients across eight Noord-Brabant practices and used correlation/regression to relate patient-centered care and co-creation of care to well-being and satisfaction.

What they found

Both constructs correlated with physical well-being, social well-being, and satisfaction (p ≤ 0.001). Patient-centered care predicted all three outcomes; co-creation predicted social well-being and satisfaction.

The limits

What it doesn't show

Cross-sectional associations cannot prove that changing care style causes better well-being; results are from one Dutch region.

Key terms

Multi-morbidity
Living with multiple chronic conditions at once.
Patient-centered care
Care organized around the patient’s needs, preferences, and values.
Co-creation of care
Patients and clinicians jointly shaping care decisions and delivery.
Physical well-being
Self-reported bodily/functional health status.
Social well-being
Perceived social functioning and connectedness.
Primary care
First-contact general practice setting.

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Design:

Common questions

How many patients?

216 respondents (55% of 394 eligible).

Mean age?

About 74.5 years (range 47–94).

Main associations?

Patient-centered care linked to well-being and satisfaction; co-creation to social well-being and satisfaction.

Design?

Cross-sectional survey with regression analyses.

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