How to measure person-centred practice - An analysis of reviews of the literature

African Journal of Primary Health Care & Family Medicine
Jakobus M LouwJannie Hugo

Abstract

Facilitation and collaboration differentiates person-centred practice (PcP) from biomedical practice. In PcP, a person-centred consultation requires clinicians to juggle three processes: facilitation, clinical reasoning and collaboration. How best to measure PcP in these processes remains a challenge. To assess the measurement of facilitation and collaboration in selected reviews of PcP instruments. Ovid Medline and Google Scholar were searched for review articles evaluating measurement instruments of patient-centredness or person-centredness in the medical consultation. Six of the nine review articles were selected for analysis. Those articles considered the psychometric properties and rigour of evaluation of reviewed instruments. Mostly, the articles did not find instruments with good evidence of reliability and validity. Evaluations in South Africa rendered poor psychometric properties. Tools were often not transferable to other socio-cultural-linguistic contexts, both with and without adaptation. The multiplicity of measurement tools is a product of many dimensions of person-centredness, which can be approached from many perspectives and in many service scenarios inside and outside the medical consultation. Extensive resear...Continue Reading

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Citations

Sep 4, 2021·South African Family Practice : Official Journal of the South African Academy of Family Practice/Primary Care·Robert MashRuvimbo V Chigwanda

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