Patient-Centered Care and Outcomes: A Systematic Review of the Literature
Abstract
Patient-centered care (PCC) has been studied for several decades. Yet a clear definition of PCC is lacking, as is an understanding of how specific PCC processes relate to patient outcomes. We conducted a systematic review of the PCC literature to examine the evidence for PCC and outcomes. Three databases were searched for all years through September 2012. We retained 40 articles for the analysis. Results found mixed relationships between PCC and clinical outcomes, that is, some studies found significant relationships between specific elements of PCC and outcomes but others found no relationship. There was stronger evidence for positive influences of PCC on satisfaction and self-management. Future research should examine specific dimensions of PCC and how they relate to technical care quality, particularly some dimensions that have not been studied extensively. Future research also should identify moderating and mediating variables in the PPC–outcomes relationship.
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Contraindications for exercise program: fever, bone metastases involving 25% of cortex, lab results; if receiving chemotherapy or recurrence, high impact aerobic exercise is contraindicated; also if WBC <3000mm3, neutrophil <2500mm3, HGB <10g/dL, platelets <2500mm3.
“Some things that need to be considered before carrying out an exercise program for cancer survivors are conditions that may be contraindicated, such as fever, bone metastases involving 25% of the cortex, and the patient's laboratory results. If the patient is receiving chemotherapy or experiencing a recurrence, high impact aerobic exercise is contraindicated [72]; this is also true if the labor”
From Empowerment in the treatment of fatigue in breast cancer patients (2021) · cites this paper as [72]
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Pursuing Sustainability for Healthcare through Digital Platforms
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the members of the Guidelines International Network Implementation Working Group, Vernooij, R. W. M., Willson, M. L., & Gagliardi, A. R. (2015) · Implementation Science · doi:10.1186/s13012-016-0419-1 · Cited by 56 · see citing works
- Authors
- Rathert, C., Wyrwich, M. D., & Boren, S. A.
- Affiliations
- University of Missouri (US)
- Venue
- Medical Care Research and Review
- Publisher
- SAGE Publications
- Published
- 2012-11-20
- Volume
- 70
- Issue
- 4
- Pages
- 351-379
- ISSN
- 1077-5587 (ISSN-L)
- 1552-6801
- OpenAlex
- W2159318017
- Cited by
- 1,087
- References
- 67
- Citations by year
- 2026: 70 · 2025: 91 · 2024: 114 · 2023: 109 · 2022: 118 · 2021: 114 · 2020: 109 · 2019: 112 · 2018: 62 · 2017: 81 · 2016: 35 · 2015: 41 · 2014: 23 · 2013: 8
- FWCI
- 3.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Care Research and Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- patient-centered care, patient outcomes, patient satisfaction, self-management, clinical outcomes, quality of care
- MeSH terms
- Humans, Patient Satisfaction, Outcome Assessment, Health Care, Patient-Centered Care
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