Changes over time in the importance patients ascribe to different aspects of care: on the need to improve person-centeredness

Main Article Content

Gerry Larsson
Bodil Wilde-Larsson

Abstract

Rational and aim: Knowledge of which aspects of care are more important to patients is crucial for health providers. The aim of the work presented here was to explore changes over time in patients’ preferences in hospital and in out-patient settings.Method: Cross-sectional data were collected among patients at a number of Swedish hospital wards and out-patient clinics in 2003, 2004, 2005 and 2008 (N = 46,525). Data for men and women were analysed separately. The main outcome measure consisted of replies to the questionnaire “Quality from the Patient’s Perspective” (QPP) (numerous references).Results: (1) Subjective importance (preference) ratings increased throughout the time period studied, (2) in-patients gave higher ratings than out-patients and (3) women gave higher ratings than men, particularly in out-patient settings.Conclusion: The increase over time in ratings of the importance ascribed to different aspects of care may reflect a general trend towards strengthened consciousness among citizens as consumers of care and is an important index for improving the person-centeredness of clinical services.

Article Details

Section
Patient Views and Advocacy

References

Inglehart, R. (1997). Mordernization and Postmodernization: Cultural, Economic, and Political Change in 43 Societies. New Jersey: Princeton.

Pritchett, P. & Pound, P. (1993). High Velocity Culture Change: A Handbook for Managers. Dallas, TX: Pritchett & Hull Associates, Inc.

Kallenberg, K. & Larsson, G. (2004). Human Health: View of Life and Personality (in Swedish). Stockholm: Natur och Kultur.

Lazarus, R.S. (1991). Emotion and Adaptation. New York: Oxford University Press.

Lazarus, R.S. (1999). Stress and Emotion: A New Synthesis. London: Free Association Books.

Larsson, G. & Wilde-Larsson, B. (2010). Quality of care and patient satisfaction: A new theoretical and methodological approach. International Journal of Health Care Quality Assurance 23 (2) 228-247.

Jung, H.P., Baerveldt, C., Olesen, F., Grol, R. & Wensing, M. (2003). Patient characteristics as predictors of primary health care preferences: A systematic literature analysis. Health Expectations 6 (2) 160-181.

Wensing, M., Jung, H.P., Mainz, J., Olesen, F. & Grol, R. (1998). A systematic review of the literature on patient priorities for general practice care: Part 1: Description of the research domain. Social Science & Medicine 47 (10) 1573-1588.

Jung, H.P., Wensing, M., de Wilt, A., Olesen, F. & Grol, R. (2000). Comparison of patients’ preferences and evaluation regarding aspects of general practice care. Family Practice 17 (3) 236-242.

Campell, S.M., Kontopantelis, E., Reeves, D., Valderas, J.M., Gaehl, E., Small, N. & Roland, M.O. (2010). Changes in patient experiences of primary care during health service reforms in England between 2003 and 2007. Annals of Family Medicine 8 (6) 499-506.

Wilde, B., Starrin, B., Larsson, G. & Larsson, M. (1993). Quality of care from a patient perspective: A grounded theory study. Scandinavian Journal of Caring Sciences 7 (2) 113-120.

Wilde, B., Larsson, G., Larsson, M. & Starrin, B. (1994). Quality of care: Development of a patient-centred questionnaire based on a grounded theory model. Scandinavian Journal of Caring Sciences 8 (1) 39-48.

Larsson, G., Wilde-Larsson, B. & Munck, I.M. (1998). Refinement of the questionnaire ´Quality from the Patient’s Perspective’ using structural equation modelling. Scandinavian Journal of Caring Sciences 12 (2) 111-118.

Wilde-Larsson, B. & Larsson, G. (2002). Development of a short form of the Quality from the Patient’s Perspective (QPP) questionnaire. Journal of Clinical Nursing 11 (5) 681-687.

Swedish research Council. (2000). Guidelines for Ethical Assessment of Medical Research on Humans. Policy and Organisation of Research Ethics in Sweden, 2nd ed (in Swedish). Stockholm: Swedish Research Council.

Budzi, D., Lurie, S., Singh, K. & Hooker, R. (2010). Veterans’ perceptions of care by nurse practitioners, physician assistants, and physicians: a comparison from satisfaction surveys. Journal of the American Academy of Nurse Practitioners 22 (3) 170-176.

Evetts, J. (2011). A new professionalism? Challenges and opportunities. Current Sociology 59 (4) 406-422.

Muzio, D. & Kirkpatrick, I. (2011). Introduction professions and organizations: A conceptual framework. Current Sociology 59 (4) 389-405.

Wilde-Larsson, B., Larsson, G. & Starrin, B. (1999). Patients’ views on quality of care: A comparison of men and women. Journal of Nursing Management 7 (3) 133-139.

Wessels, H., de Graeff, A., Wynia, K., de Heus, M., Kruitwagen, C.L.J.J, Woltjer, G.T.G.J., Teunissen, S.C.C.M. & Voest, E.E. (2010). Gender-related needs and preferences in cancer care indicate the need for an individual approach to cancer patients. The Oncology Express, May 27.

Cahalnan, D., Cisisn, I. & Crossley, H. (1969). A National Study of Drinking Behaviour and Attitudes. New Haven: College & University Press.

Verbrugge, L.M. (1982). Sex differences in legal drug use. Journal of Social Issues 38 (2) 59-76.

Wilde-Larsson, B. (1999). Patients’ views on quality of care: Age effects and identification of patient profiles. Journal of Clinical Nursing 8 (6) 693-700.

Chang, E., Hancock, K., Chenoweth, L., Yun-Hee, J., Glasson, J., Gradidge, K. & Grahm, E. (2003). The influence of demographic variables and ward type on elderly patients’ perceptions of needs and satisfaction during acute hospitalization. International Journal of Nursing Practice 9 (3) 191-201.