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Patient-centered care in diabetes care-concepts, relationships and practice
Tsung-Tai Chen1, Wei-Chih Su2, Mei-I Liu3
1Department of Public Health, College of Medicine, Fu Jen Catholic University, New Taipei 24205, Taiwan. 084907@mail.fju.edu.tw.
World Journal of Diabetes
|August 5, 2024
Summary
Patient-centered care (PCC) is crucial for diabetes management. Key elements like autonomy support and collaboration improve patient outcomes, often through enhanced patient activation.
Area of Science:
- Healthcare Management
- Patient-Centered Care Research
- Diabetes Mellitus Treatment
Background:
- Limited understanding exists regarding optimal patient-centered care (PCC) frameworks for diabetes.
- The evidence base for specific PCC elements and their mediating mechanisms in diabetes care requires further elucidation.
Purpose of the Study:
- To identify appropriate PCC frameworks for diabetes care.
- To determine evidence-based PCC elements and their association with patient outcomes.
- To explore the mediating role of patient activation in the PCC-outcome relationship.
Main Methods:
- Systematic literature review of patient-centered care in diabetes.
- Analysis of evidence supporting specific PCC elements.
- Examination of mediating pathways linking PCC to patient outcomes.
Main Results:
- Key PCC elements for diabetes include autonomy support, cooperation, communication, education, emotional support, and family involvement.
- These elements are directly linked to patient outcomes.
- Patient activation acts as a significant mediator in the relationship between PCC and outcomes.
Conclusions:
- Implementing specific PCC elements is vital for effective diabetes care.
- Understanding the mediating role of patient activation can optimize therapeutic strategies.
- Practical implications for integrating PCC into diabetes management are discussed.
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