Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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Conceptual Constructs of Patient Centeredness: Perspective of Patients and Family Members

환자중심성의 개념적 구성 요소: 환자와 가족구성원의 관점

  • Kim, Un-Na (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Ock, Minsu (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Shin, Yukyung (Department of Medicine, Seoul National University College of Medicine) ;
  • Jo, Min-Woo (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Lee, Jin Yong (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Do, Young Kyung (Department of Health Policy and Management, Seoul National University College of Medicine)
  • 김은나 (서울대학교 의과대학 의료관리학교실) ;
  • 옥민수 (울산대학교 의과대학 예방의학교실) ;
  • 신유경 (서울대학교 의과대학 의학과) ;
  • 조민우 (울산대학교 의과대학 예방의학교실) ;
  • 이진용 (서울대학교 의과대학 의료관리학교실) ;
  • 도영경 (서울대학교 의과대학 의료관리학교실)
  • Received : 2019.09.14
  • Accepted : 2019.11.18
  • Published : 2019.12.31
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Abstract

Purpose:The objective of this study was to identify the conceptual constructs of patient centeredness from the perspective of patients and family members in Korea, and to compare them with those included in the Picker Institute framework. Methods: Two focus group discussions were conducted. Each focus group consisted of six participants who had experienced being either a patient or a caregiver. We carried out a thematic analysis, and then compared the contents of our focus group discussions with the components of patient-centered care outlined by the Picker Institute. Results: Six conceptual constructs of patient centeredness emerged from the focus group discussions. Five of these overlapped with those outlined by the Picker Institute: 1)respect for patients' values, preferences, and needs, 2) coordination and integration of care, 3) information, communication, and education, 4) physical comfort, and 5) emotional support and alleviation for fear and anxiety. A new component that was not mentioned in the Picker Institute framework emerged from this study: "ease of making a complaint." Currently, "involvement of family and friends" and "continuity and transition" were not prominent components of patient centeredness according to our focus group discussions. Conclusions: This study presents the conceptual constructs of patient centeredness, five of which overlap with those outlined by the Picker Institute, and provides a qualitative basis of the patient experience survey currently being implemented by the Health Insurance Review & Assessment Service in Korea.

Keywords

References

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