DETERMINANTS OF PATIENT-CENTRED CARE FROM THE PUBLIC AND PROFESSIONALS’ PERSPECTIVES
Author(s)
Gogovor A, Valois M, Ahmed S
McGill University, Montreal, QC, Canada
OBJECTIVES: To assess the determinants of patient-centred care (PCC) from Canadian public and professionals’ perspectives. We expected that respondents who strongly support team care models for chronic disease (CD) management will have a high level of support for attributes of PCC. METHODS: This study used the data from a national population-based survey, the 11th edition of the Health Care in Canada (HCIC) Survey, conducted by Pollara Strategic Insights between November 2013 and January 2014. The survey assessed the perceptions of 1000 Canadian adults, 101 doctors, 100 nurses, 100 pharmacists, and 104 administrators who were randomly selected from online panels based on multiple source recruitment. PCC was assessed using a summary score across 7 items. Two separate hierarchical regression models were run to estimate the association between several covariables including age, gender, type of CD, and e-technology and PCC. RESULTS: Of 1000 Canadian public adults surveyed, 51% were female, 74% were living with another person, 17% were living in rural areas, and 62% have at least one chronic condition. Only 18 % of health professionals were working in teams. Multivariable regression models showed that older age (0.59, 95%CI:0.32, 0.86), work in teams (0.24, 95%CI:0.20, 0.28), adherence to medications (-0.81, 95%CI: -1.16, -0.47), use of e-technology (0.29, 95%CI:0.17, 0.42), and patient involvement in decision making (0.42, 95%CI:0.30, 0.55) were significantly associated with PCC of PCC. Variables such as gender and years in practice were not significant. CONCLUSIONS: The findings confirmed that perceptions of requiring health professionals to work in teams and the use of technology in healthcare are associated with support for patient-centred care from both the public and health professionals. Programs to accelerate the implementation of health care teams supported by information and communication technologies are needed, particularly for individuals living with chronic conditions.
Conference/Value in Health Info
2017-05, ISPOR 2017, Boston, MA, USA
Value in Health, Vol. 20, No. 5 (May 2017)
Code
PHS111
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Treatment Patterns and Guidelines
Disease
Multiple Diseases