Abstract:
OBJECTIVES:(i) To develop a prototype measure of co-production of health (CPH) in consultations for people with long-term conditions (LTCs); and (ii) to undertake initial validation of it, using a measure of patient-centred care, as defined by the Roter interaction analysis system (RIAS). METHODS:Mixed methods were applied. A qualitative study gathered 11 experts' views on what comprised CPH behaviours. These were operationalised and a prototype measure applied to a convenience sample of 50 video-recorded consultations involving clinicians trained in self-management support and patients with LTCs at health services in six UK locations. RESULTS:Twenty-two CPH behaviours were identified. High frequencies of CPH behaviours in consultations were associated with greater patient-centeredness, less clinician verbal dominance, and more patient communication control in comparison to consultations where CPH behaviours were less frequent. CONCLUSION:Although the CPH tool is promising, further testing is required in order to improve reliability and validity. PRACTICAL IMPLICATIONS:In the future, the measure could be used to test interventions to promote patient participation in decision making about self-management.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Realpe AX,Wallace LM,Adams AE,Kidd JMdoi
10.1016/j.pec.2015.07.005subject
Has Abstractpub_date
2015-07-08 00:00:00eissn
0738-3991issn
1873-5134pii
S0738-3991(15)30014-8pub_type
杂志文章abstract:OBJECTIVE:To evaluate residents' ability to engage standardized patients in informed decision making during a pregnancy loss scenario. METHODS:Forty patient encounters between interns and standardized patients were coded to assess informed decision-making practices, exploration of unexpressed concerns, and support pro...
journal_title:Patient education and counseling
pub_type: 杂志文章
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journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
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journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.06.035
更新日期:2010-09-01 00:00:00
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2011-04-01 00:00:00
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pub_type: 杂志文章
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journal_title:Patient education and counseling
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更新日期:2016-10-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.05.024
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
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更新日期:1995-09-01 00:00:00