Contemporaneous patient and health professional views of patient-centred care: a systematic review

Objective: To understand the domains of agreement and disagreement, related to person-centred care, between the patient and healthcare professional during a shared episode of care. Design: A systematic review following the PRISMA protocol searched PubMed (Medline), CINAHL, Psychlnfo and Scopus using keywords for health professionals, patients and patient-centred care. A descriptive-interpretive method was used to identify domains described in the person-centred care framework. Setting: Research conducted in all healthcare settings (inpatient, outpatient, community) were included. Participants: Research which presented the contemporaneous perspectives of a health professional and the person they were providing services to were included. Intervention(s): Research regarding the delivery of any type of health service was included. Main Outcome Measure(s): The person-centred care framework which includes Structure, Process and Outcome as measures for implementing person-centred care was used to interpret and summarize the data. Results: After title and abstract screening against inclusion and exclusion criteria, 15 of 1,406 studies were critically appraised. High levels of contemporaneous agreement were identified for easily accessible, supportive and accommodating environments, where information sharing occurred. Contemporaneous agreement occurred most often between patients and healthcare professionals in the importance of sharing information across all geographical settings, with greatest disagreement of patient involvement in the European and American hospital environments. Conclusions: Greater understanding of the context of information sharing and drivers for management preferences may support shared decision-making and increase satisfaction. More information regarding contemporaneous experiences of healthcare episodes is required to further inform patient-centred care practices and optimize health outcomes.