Improving patient-centredness in partnership with female patients: a cluster RCT in fertility care

Human Reproduction
Aleida G HuppelschotenJan A M Kremer

Abstract

What is the effect of a multifaceted intervention with participation of patients on improvement of patient-centredness in fertility care? A multifaceted intervention with participation of patients did not improve total patient-centredness scores provided by women in fertility care. We should provide care that takes into account the preferences and needs of patients, i.e. patient-centred care. Especially infertile patients who suffer from a high emotional burden of treatment could benefit from a more patient-centred approach in healthcare. However, the improvement of patient-centred care is still needed, because effective strategies to come to improvement are lacking. A cluster RCT was performed within 32 Dutch fertility clinics, covering about one-third of all Dutch hospitals. After randomization, 16 clinics in the intervention group were exposed to a multifaceted improvement strategy for patient-centred fertility care for 1 year. This strategy comprised audit and feedback, educational outreach visits and patient-mediated interventions. The remaining 16 clinics in the control group performed care as usual. The clinics' levels of patient-centredness were measured, using the validated Patient-centredness Questionnaire-Infertility...Continue Reading

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Citations

Nov 10, 2017·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jeremy Y Ng, Anna R Gagliardi
Sep 21, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Jan-Jurjen Koksma, Jan A M Kremer
May 26, 2018·Research Involvement and Engagement·Dean FergussonFatemeh Yazdi
Jun 6, 2019·JMIR Formative Research·Aleida Gerarda HuppelschotenJan Am Kremer
Aug 9, 2020·Israel Journal of Health Policy Research·Tamar R Medina-Artom, Eli Y Adashi

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