Person-Centered-Care Climate in a Tertiary Hospital: Staff Perspective

Area of Science:

• Healthcare Management
• Patient-Centered Care Research
• Hospital Operations

Background:

• Healthcare systems aim to enhance quality, safety, and value through patient-centered care (PCC).
• Assessing healthcare providers' perceptions of the PCC climate in hospitals is crucial for improving care delivery.
• Understanding factors influencing these perceptions can guide targeted interventions.

Purpose of the Study:

• To evaluate healthcare providers' perspectives on the person-centered care (PCC) climate within a hospital setting.
• To identify specific provider characteristics associated with perceptions of the PCC climate.
• To inform strategies for enhancing PCC in clinical environments.

Main Methods:

• A survey utilizing the person-centered climate questionnaire-staff version was administered to healthcare providers.
• Data collected included demographics (age, gender, education, occupation) and PCC dimensions (Safety, Everydayness, Community).
• Poisson regression analysis was used to identify factors associated with PCC climate perception.

Main Results:

• The overall mean PCC score was 45.96±15.36, with subscale scores for Safety, Everydayness, and Community indicating room for improvement.
• Increasing age was positively associated with higher overall PCC scores and all subscale scores.
• Female providers reported lower overall and Everydayness scores compared to males; diploma-qualified providers and technicians reported higher safety scores than those with master's degrees/PhDs and nurses, respectively.

Conclusions:

• Healthcare providers' perceptions of the PCC climate suggest a need for improvement compared to existing literature.
• Provider age and gender emerged as significant factors influencing PCC perception, warranting further investigation.
• Targeted interventions focusing on these demographic factors may enhance the PCC climate in hospitals.