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. 2021 Jun 24;8:669491. doi: 10.3389/fmed.2021.669491

Table 2.

Overview of definitions, interventions, outcomes and effects, and strengths and limitations.

References Definitions and concepts Interventions Outcomes and effects Strengths (S) and limitations (L)
Dwamena et al. (9) - Share control of consultations, decisions about interventions, or management of health problems, and/or - Focus on patient as person rather than disease - Training for providers only
- Training for providers combined with training or general educational materials for patients
- Training for providers combined with condition-specific training or materials for providers
- Training for providers combined with condition-specific materials or training for both providers and patients
- Positive on consultation process: 80% (28/35)
- Positive on satisfaction: 46% (12/26)
- Positive on behavior: 47% (8/17)
- Positive on health status: 46% (12/26)
- S: focus on RCTs allowing meta-analysis
- L: exclusion of non RCTs, heterogeneous and multiplicity of outcome measures
Rathert et al. (14) - Respect for patient preferences
- Information, education, communication
- Coordination of care
- Emotional support
- Physical comfort
- Involvement of family
- Continuity & transition
- Access to care
- Individualized treatment planning in collaboration with patients or training of practitioner
- Information and communication processes
- Focusing on all dimensions of quality of care
- Focusing on other dimension of care
- Positive on satisfaction and patient well-being
- In general mixed results on clinical and long-term outcomes
- More positive outcomes
- L: inability to combine results of varied interventions, surveys, and outcome measures, difficulties in comparing interventions poorly described, small sample sizes in some studies
McMillan et al. (15) - Holistic care
- Individualized care
- Respectful care
- Empowering care.
- Complex interventions, e.g., Provision of tailored action plan, service referrals, follow-ups, and feedback
- Simple intervention, one condition, e.g., Provision of medical record and treatment plan, lists of questions for patients
- Training to providers to apply patient-centered care
- Observation of interactions between patients and health providers
- Mixed findings, with improvements in some clinical indicators and negative impact on others
- Positive on satisfaction when patients were engaged
- Positive on quality of care, but little impact on clinical outcomes
- S: first systematic assessment of RCTs
- L: variability in definitions and outcome measures, lack of detail about interventions, high risk of bias in most studies
Park et al. (16) - Holistic approach to delivering respectful and individualized care, and
- Offering choice through a therapeutic relationship where persons are empowered to be involved in health decisions
- Applied to patients, e.g., Physical support, education, training, and consulting, empowerment, emotional or environmental support
- Applied to family members, e.g., Involvement in care, information sharing, shared decision making
- Applied to healthcare providers, e.g., Education and training programs, coordination and continuity of care
- Positive on 75% (104/139) of outcomes
- Neutral on 20% (28/139) of outcomes
- Negative on 5% (7/139) of outcomes
- S: first review of systematic reviews on patient
- and family-centered care-related interventions, comprehensive literature search of six electronic databases, followed by manual search
- L: no consensus on definition, wide range of diverse subjects and interventions difficult to compare, limited quality of evidence from primary studies