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Patient-Centred Care in Canada: Key Components and the Path Forward
Terrence Montague1, Amédé Gogovor2, John Aylen3
1Principal, CareNet Health Management Consulting Ltd., and Adjunct Professor of Medicine, University of Alberta, Edmonton, AB.
Healthcare Quarterly (Toronto, Ont.)
|May 28, 2017
Summary
Canadians prioritize timely, respectful, and partnered patient-centred care. However, measuring the effectiveness of these healthcare improvements remains a low priority, hindering progress.
Area of Science:
- Health Services Research
- Public Health Policy
- Patient Experience Studies
Background:
- Chronic diseases impact over 50% of Canada's aging population, necessitating evolving healthcare approaches.
- Patient-centred care is a growing area of debate regarding its definition, components, and effectiveness.
- Existing healthcare systems face challenges in adapting to the needs of an aging demographic with chronic conditions.
Purpose of the Study:
- To assess pan-stakeholder support and implementation priorities for patient-centred care components in Canada.
- To identify key elements of patient-centred care that are most valued by the public and health professionals.
- To inform policy and practice by understanding stakeholder consensus on enhancing healthcare delivery.
Main Methods:
- Utilized data from the 2013-2014 and 2016 Health Care in Canada (HCIC) surveys.
- Measured levels of support and implementation priorities for proposed patient-centred care components across various stakeholders.
- Analyzed responses from both the general public and healthcare professionals.
Main Results:
- Public's top priorities: timely access, respectful/caring delivery, shared decision-making, and care based on need.
- Health professionals' priorities largely aligned with the public's, with added emphasis on evidence-based and expert-driven care.
- Timely access was the highest implementation priority for all stakeholders; measurement of outcomes was a low priority.
Conclusions:
- Remarkable agreement exists among Canadians and health professionals on key interventions for patient-centred care: timely access, respectful care, partnership, and communication.
- The lack of focus on measuring the use and outcomes of favoured patient-centred care interventions creates uncertainty about their true efficacy.
- There is a need to prioritize the measurement and reporting of patient-centred care initiatives to ensure their effectiveness and drive future improvements.
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