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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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[Patient-centeredness].

André L Mihaljevic1, Christoph Michalski2, Udo Kaisers2

  • 1Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Deutschland. andre.mihaljevic@uni-ulm.de.

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Summary

Patient-centeredness is key in healthcare, but its implementation faces challenges. A review found limited German Patient-Reported Experience Measures (PREMs), hindering adequate assessment, especially in surgery.

Keywords:
Patient outcome assessmentPatient-centerednessPatient-reported experience measuresPatient-reported outcome measures

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Area of Science:

  • Healthcare Policy
  • Health Services Research
  • Patient Experience Measurement

Background:

  • Patient-centeredness is a guiding principle in healthcare policy.
  • Practical implementation faces significant challenges and competing interests.

Purpose of the Study:

  • Define patient-centeredness.
  • Describe evidence-based measurement tools.
  • Outline recommendations for practical implementation.

Main Methods:

  • Narrative literature review conducted in Medline, Cochrane Library, PsyINfo, and CINHAL.
  • Explanation of Patient-Reported Experience Measures (PREMs).
  • Development of a comprehensive PREM system.

Main Results:

  • Patient-centeredness is an unclearly defined construct with up to 16 aspects.
  • PREMs are the primary measurement tool.
  • Limited validated German PREMs exist, with unclear measurement qualities and gaps in surgical care assessment.

Conclusions:

  • No comprehensive German PREM system is available.
  • Current German PREMs inadequately assess surgical care aspects.
  • Organizational, regulatory, methodological, and financial barriers impede widespread patient-centeredness implementation in German-speaking countries.