Table 3.

Identified PC-QIs from the literature classified according to the person-centred care framework as actual indicators¹⁸

Type of indicator	Domain	PCC indicators (n=25)
Structure	Creating a PCC culture	An induction programme is in place which promotes the philosophy of care.22 % of PHC organisations who currently have processes to involve community input for planning the organisation’s services (eg, advisory committees and focus groups).21 Clear policies are in place on how services are offered to patients.21
	Supporting a workforce committed to PCC	Percent of nurses attending education sessions (orientation and organisation professional development opportunities) on client-centred care.25 Percent of non-nursing staff attending education sessions (orientation and organisation professional development opportunities) on client-centred care.25
Process	Cultivating communication	Percent of patients with access to an online HER (a) by region and (b) by practice.26 Proportion of service users who stated that the district nurse provided health advice or information about his/her condition.23 Proportion of service users who stated that they were involved as much as they wanted to be in decisions about their care and treatment.23
	Respectful and compassionate care	Proportion of service users who stated that their district nurse treated them with respect and dignity.23 Percent of inpatients who said they were always treated with respect and dignity while in hospital/primary care.21
	Engaging patients in managing their care	Percent of PHC clients/patients, 18 years and older, with a chronic condition(s), who actively participated in the development of a treatment plan with their PHC provider over the past 12 months.21 Percent of hospital patients who said they had been sufficiently involved in decisions about their care as much as they wanted to be.21 Percent of nurses self-reporting: adequate assessment of a client’s perceived needs for care, adequate assessment of a client’s goals for care, adequate documentation of a client’s personal goals for care, sharing client’s concerns/choices with other members of the healthcare team, discharge teaching guided by the client’s goals for managing their care at home.25
	Integration of care	Percent of hospital patients taking medicines home after discharge who were told completely about the purposes of the medicine in a way they could understand.21
	Access to care	Percentage of patients who can get all diagnostic work ordered by their primary care doctor done the same day in the same location (excluding certain high-technology procedures such as CT and MRI).26 Percentage of out-patients seen within 13 weeks of GP referral.24 Percentage of those on waiting list waiting 12 months or more.24 Proportion of service users who were able to contact a district nurse when needed, including outside of normal working hours.23 The percentage of patients who, in the appropriate national survey, indicate that they were able to obtain a consultation with a GP or appropriate healthcare professional within two working days (NHS Confederation, UK).21 Percentage of PHC clients/patients, 18 years and older, with a chronic condition(s), who had sufficient time in most visits to confide their health-related feelings, fears and concerns to their PHC provider.21
Outcome	Patient-reported experiences	Proportion of service users who stated that the district nurse had all the necessary information about the service user and his/her health needs.23 Proportion of service users who stated that the district nurse had all the equipment and dressings needed.23 Proportion of service users who stated that the district nurse was knowledgeable and competent.23 Proportion of service users who rated the district nurse service as very good or excellent.23 Proportion of children whose parents routinely received all aspects of family-centred care (child and adolescent health measurement initiative).21

GP, general practitioner; HER, health electronic record; NHS, National Health Service; PCC, patient-centred care; PC-QIs, patient-centred quality indicators; PHC, primary healthcare.