Current scientific approaches to understanding patient-centered healthcare

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

Demographic changes, the digitalization of society and medicine, and economic crises have created an urgent need to shift from a biomedical healthcare system focused on diseases and medical technologies to new models of healthcare delivery. When discussing new concepts of healthcare development, terms such as patient-centeredness and patient-centered medical care are frequently used, but without clear definition.

To analyze the terminology related to the development of patient-centered healthcare at the present stage.

The reference sources were reviewed and selected using keywords and their combinations in Russian and foreign electronic library systems and databases.

The analysis has shown that patient-centeredness is considered in several contexts: as a conceptual framework for healthcare development, a healthcare delivery model, a principle of healthcare organization, and a defining characteristic of healthcare services, medical institutions, and healthcare professionals. The fundamental characteristics of patient-centeredness include treating patients as individuals, considering their lived experiences, collaborative decision-making, and effective communication between patients and healthcare providers.

Patient-centeredness is the basis of many healthcare concepts and models, which have similar ideological foundations. It may be considered as a principle of healthcare provision, which is based on the high responsiveness of the healthcare system and its representatives at all levels to the patient’s wishes regarding the process and results of the provision of healthcare services, as well as advanced healthcare capabilities.

About the authors

Tatyana E. Romanova

Privolzhsky Research Medical University

Author for correspondence.
Email: romanova_te@mail.ru
ORCID iD: 0000-0001-6328-079X
SPIN-code: 4943-6121

MD, Cand. Sci. (Medicine), Assistant Professor

Russian Federation, Nizhny Novgorod

References

  1. Khalfin RA, Madyanova VV, Kachkova OE, et al. Patient-centered medicine: background to the transformation and components. RUDN Journal of Medicine. 2019;23(1):104–114. doi: 10.22363/2313-0245-2019-23-1-104-114 EDN: WJEFYV
  2. Tsaranov KN, Piven DV, Lindenbraten AL, Tarbastaev AG. Influence of doctors' patient-orientation on patient involvement in treatment. Manager Zdravoochranenia. 2018;(3):6–14. EDN: XMGXNB
  3. Shrank WH. Primary care practice transformation and the rise of consumerism. J Gen Intern Med. 2017;32(4):387–391. doi: 10.1007/s11606-016-3946-1 EDN: IMYCSD
  4. Romanov SV, Dzybak SA, Abaeva OP. Ways to improve patient satisfaction at the reception desk of an out-patient hospital, rendering medical services within the FMBA system. Medicine of Extreme Situations. 2017;61(3):47–50. EDN: ZQKWUV
  5. Mason NR, Sox HC, Whitlock EP. A patient-centered approach to comparative effectiveness research focused on older adults: lessons from the Patient-Centered Outcomes Research Institute. J Am Geriatr Soc. 2019;67(1):21–28. doi: 10.1111/jgs.15655
  6. Wildevuur SE, Simonse LW. Information and communication technology-enabled person-centered care for the "big five" chronic conditions: scoping review. J Med Internet Res. 2015;17(3):e77. doi: 10.2196/jmir.3687
  7. Reshetneykov AV. The social institution of medicine. Part I. Sociology of Medicine. 2018;17(1):4–11. doi: 10.18821/1728-2810-2018-17-1-4-11 EDN: SPNDUE
  8. Reshetnikov AV. The social institution of medicine. Part II. Sociology of Medicine. 2018;17(2):68–79. doi: 10.18821/1728-2810-2018-17-2-68-79 EDN: LRPIXG
  9. Siegal R, Nance A, Johnson A, Case A. Just because I have a medical degree does not mean I have the answers": Using CBPR to enhance patient-centered care within a primary care setting. Am J Community Psychol Actions. 2023;72(1–2):217–229. doi: 10.1002/ajcp.12677 EDN: CUHEBK
  10. Yudkin JS. Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors. Rev Panam Salud Publica. 2022;46:e162. doi: 10.26633/RPSP.2022.162
  11. Levine DS, Drossman DA. Addressing misalignments to improve the US health care system by integrating patient-centred care, patient-centred real-world data, and knowledge-sharing: a review and approaches to system alignment. Discov Health Systems. 2022;1(8). doi: 10.1007/s44250-022-00012-8 EDN: ZWORWK
  12. Han S, Ma L. Data-driven integrated care pathways: Standardization of delivering patient-centered care. Front Med. 2022;9:883874. doi: 10.3389/fmed.2022.883874
  13. Chiolero A, Cullati S, Tancredi S, et al. From evidence to quality improvement to provide high value and patient centered care. Rev Med Suisse. 2022;18(790):1402–1405. (In French) doi: 10.53738/REVMED.2022.18.790.1402 EDN: NNDUZA
  14. Håkansson Eklund J, Holmström IK, Kumlin T, et al. «Same same or different?» A review of reviews of person-centered and patient-centered care. Patient Educ Couns. 2019;102(1):3–11. doi: 10.1016/j.pec.2018.08.029
  15. Tomaselli G, Buttigieg SC, Rosano A, et al. Person-centered care from a relational ethics perspective for the delivery of high quality and safe healthcare: A Scoping Review. Front Public Health. 2020;8:44. doi: 10.3389/fpubh.2020.00044 EDN: JVJBMS
  16. Perepelova OV, Petrova IA. Patient-centeredness in the provision of medical services to the population as a value and principle of activity. Manager Zdravoochranenia. 2019;(10):12–17. EDN: APAAOA
  17. Santiago LM, Simões JA, Vale M, et al. Self-awareness of performing patient-centered medicine in general practice / family medicine: development of a measurement scale. Acta Med Port. 2020;33(6):407–414. doi: 10.20344/amp.11742
  18. Perfetto EM, Love TR, Oehrlein EM, et al. A foundation for patient-centered core impact sets: key learnings from past and existing approaches. Patient. 2023;16(4):293–300. doi: 10.1007/s40271-023-00630-1 EDN: SBKLIH
  19. Kwok CS, Muntean EA, Mallen CD. The patient pathway review: a new method of evaluating clinical practices to understand the complexities of real-world care. Crit Pathw Cardiol. 2021;20(4):213–219. doi: 10.1097/HPC.0000000000000267 EDN: VFIWNH
  20. Zonneveld N, Raab J, Minkman MMN. Towards a values framework for integrated health services: an international Delphi study. BMC Health Serv Res. 2020;20(1):224. doi: 10.1186/s12913-020-5008-y EDN: POMWYK
  21. Gartner JB, Abasse KS, Bergeron F, et al. Definition and conceptualization of the patient-centered care pathway, a proposed integrative framework for consensus: a concept analysis and systematic review. BMC Health Serv Res. 2022;22(1):558. doi: 10.1186/s12913-022-07960-0 EDN: LKKDQD
  22. Martyushev-Poklad AV, Guliev YI, Kazakov IF, et al. Person-centered instruments in digital transformation of healthcare: ways to improve. Medical doctor and information technology. 2021;S5:4–13. doi: 1025881/18110193_2021_S5_4 EDN: BWFRXO
  23. Stollenwerk D, Kennedy LB, Hughes LS, O'Connor M. A systematic approach to understanding and implementing patient-centered care. Fam Med. 2019;51(2):173–178. doi: 10.22454/FamMed.2019.320829
  24. Taratukhin EO. Patient-centered medicine. A new reality. Russian Journal of Cardiology. 2016;(9):79–83. doi: 10.15829/1560-4071-2016-9-79-83 EDN: WJHBTV
  25. Taevsky AB. Patient-centricity as a medical, social and commercial phenomenon. Zdravexpertsurs [Internet]. 2024;197. (In Russ.) [cited 2024 Jul 19]. Available from: https://www.zdrav.org/index.php/sistemy-menedjmenta-med-kachestva/197-paciento-centrichnost
  26. Shvabsky OR, Minulin IB, Taut DF, Shcheblykina AA. Practical recommendations of Roszdravnadzor. Second version. New approaches to ensuring the quality and safety of medical activities. Standards and quality. 2022. (In Russ.) [cited 2024 Jul 19]. Available from: https://ria-stk.ru/mkvm/adetail.php?ID=210957
  27. Sychev DA, Shuev GN, Torbenkov ES, Adrijanova MА. Personalized medicine: clinical pharmacologist's opinion. Consilium Medicum. 2017;19(1):61–68. EDN: YSQFFL
  28. Paltsev MA. Medicine of the future. Personalized medicine: the experience of the past, the realities of tomorrow. Moscow: Russian Academy of Sciences; 2020. (In Russ.) EDN: RRCGRM
  29. Berg LN. Personalized medicine: the organizational and legal framework of the medicine of the future. Lex Genetica. 2023;2(1):7–23. doi: 10.17803/lexgen-2023-2-1-7-23 EDN: ERZFVM
  30. Zabelina OV. The health care quality through the patient's eyes: an independent online survey results. Part I. Monitoring of Public Opinion: Economic and Social Changes. 2022;(2):342–358. doi: 10.14515/monitoring.2022.2.2035 EDN: UIYMBB
  31. Britten N, Moore L, Lydahl D, et al. Elaboration of the Gothenburg model of person-centred care. Health Expect. 2017;20(3):407–418. doi: 10.1111/hex.12468
  32. Aksenova EI, Kamynina II. Value-oriented healthcare: a new paradigm of development. Moscow medicine. 2022;51(5):4–10. (In Russ.) EDN: WSCDXP
  33. Najafizada M, Rahman A, Oxford K. Analyzing models of patient-centered care in Canada through a scoping review and environmental scan. Z Gesundh Wiss. 2023;31(3):355–367. doi: 10.1007/s10389-021-01528-8 EDN: YYAAFI
  34. Bruce C, Harrison P, Giammattei C, et al. Evaluating patient-centered mobile health technologies: definitions, methodologies, and outcomes. JMIR Mhealth Uhealth. 2020;8(11):e17577. doi: 10.2196/17577 EDN: AOQWYJ
  35. Leger P, Caldas V, Festa C, et al. Translating theory into clinical practice: a qualitative study of clinician perspectives implementing whole person care. BMJ Open Qual. 2023;12(3):e002164. doi: 10.1136/bmjoq-2022-002164 EDN: DNIMII
  36. Kibanov AYa. Personnel management: a training manual. Moscow: Knorus; 2018. (In Russ.)
  37. Mitchell TO, Goldenberg MN. When doctor means teacher: an interactive workshop on patient-centered education. MedEdPORTAL. 2020;16:11053. doi: 10.15766/mep_2374-8265.11053 EDN: TZOOHA
  38. Pavlovskih AJu, Shardin SA. Focus on patient as the dominant paradigm of the development of modern national health care. Vrach-aspirant. 2015;32(70):309–315. EDN: VKUIPF
  39. Guskova MF, Zubkov AD, Sterlikov PF, et al. On the issue of application of patient-centered management by healthcare organizations. E`konomicheskie nauki. 2021;(204):209–214. doi: 10.14451/1.204.209 EDN: UJAAYN
  40. Kant R, Yadav P, Kishore S, et al. "Patient centered care in medical disinformation era" among patients attending tertiary care hospital: A cross sectional study. J Family Med Prim Care. 2020;9(5):2480–2486. doi: 10.4103/jfmpc.jfmpc_362_20
  41. Santana MJ, Manalili K, Jolley RJ, et al. How to practice person-centred care: a conceptual framework. Health Expect. 2018;21(2):429–440. doi: 10.1111/hex.12640
  42. Moreau JL, Hamilton AB, Yano EM, et al. The impact of job role on health-care workers' definitions of patient-centered care. J Patient Exp. 2020;7(6):1634–1641. doi: 10.1177/2374373520910335 EDN: UBUSEZ
  43. Khalfin RA, Madyanova VV, Stolbov AP, et al. Design of patient-centered health care system in the digital transformation of health care. Health Care Standardization Problems. 2019;(11–12):50–57. doi: 10.26347/1607-2502201911-12050-057 EDN: HPAYDP
  44. Kharisov AM, Seleznev PS, Demina ID, et al. The concept of patient-oriented approach as a key tool of social economic development. Problems of social hygiene, public health and history of medicine. 2019;27(4):379–383. doi: 10.32687/0869-866X-2019-27-4-379-383 EDN: LASZJK
  45. Walsh A, Bodaghkhani E, Etchegary H, et al. Patient-centered care in the emergency department: a systematic review and meta-ethnographic synthesis. Int J Emerg Med. 2022;15(1):36. doi: 10.1186/s12245-022-00438-0 EDN: BEVZNE
  46. Khayrullin II, Rakhmatullin RE, Gabitova SE. Review of the person-centered care certification® of the planetree international organization, USA. Manager Zdravoohranenia. 2021;9:81–87. doi: 10.21045/1811-0185-2021-9-81-87 EDN: CQLCIK
  47. Belyavskiy AR, Pavlovskih AY, Shardin SA, Ovsyannikov SV. The method of determination of patient-orientation level of personnel in medical organization (by the example of Demidovskaya Hospital in Nizhny Tagil). Ural Medical Journal. 2016;135(1):106–111. EDN: VOXKCJ
  48. Coulter I, Herman P, Ryan G, et al. The challenge of determining appropriate care in the era of patient-centered care and rising health care costs. J Health Serv Res Policy. 2019;24(3):201–206. doi: 10.1177/1355819618815521
  49. Kwame A, Petrucka PM. A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs. 2021;20(1):158. doi: 10.1186/s12912-021-00684-2 EDN: DAHQKS
  50. Su M, Zhou Z, Si Y, Fan X. The association between patient-centered communication and primary care quality in urban China: evidence from a standardized patient study. Front Public Health. 2022;9:779293. doi: 10.3389/fpubh.2021.779293 EDN: TJSZEU
  51. Liang H, Reiss MJ, Isaacs T. Factors affecting physicians' attitudes towards patient-centred care: a cross-sectional survey in Beijing. BMJ Open. 2023;13(4):e073224. doi: 10.1136/bmjopen-2023-073224 EDN: QYSKDF
  52. Langford AT, Orellana K, Buderer N, et al. Role of digital health communication, sociodemographic factors, and medical conditions on perceived quality of patient-centered communication. Patient Educ Couns. 2024;119:108054. doi: 10.1016/j.pec.2023.108054 EDN: ACLHUU
  53. Reshetnikov AV, Romanova TE, Abaeva OP, et al. The effect of COVID-19 pandemic on attitude of internet-space surfers to professional activity of physician. Problems of social hygiene, public health and history of medicine. 2023;31(3):324–328. doi: 10.32687/0869-866X-2023-31-3-324-328 EDN: TBMIYV

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2025 Eco-Vector

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


Согласие на обработку персональных данных с помощью сервиса «Яндекс.Метрика»

1. Я (далее – «Пользователь» или «Субъект персональных данных»), осуществляя использование сайта https://journals.rcsi.science/ (далее – «Сайт»), подтверждая свою полную дееспособность даю согласие на обработку персональных данных с использованием средств автоматизации Оператору - федеральному государственному бюджетному учреждению «Российский центр научной информации» (РЦНИ), далее – «Оператор», расположенному по адресу: 119991, г. Москва, Ленинский просп., д.32А, со следующими условиями.

2. Категории обрабатываемых данных: файлы «cookies» (куки-файлы). Файлы «cookie» – это небольшой текстовый файл, который веб-сервер может хранить в браузере Пользователя. Данные файлы веб-сервер загружает на устройство Пользователя при посещении им Сайта. При каждом следующем посещении Пользователем Сайта «cookie» файлы отправляются на Сайт Оператора. Данные файлы позволяют Сайту распознавать устройство Пользователя. Содержимое такого файла может как относиться, так и не относиться к персональным данным, в зависимости от того, содержит ли такой файл персональные данные или содержит обезличенные технические данные.

3. Цель обработки персональных данных: анализ пользовательской активности с помощью сервиса «Яндекс.Метрика».

4. Категории субъектов персональных данных: все Пользователи Сайта, которые дали согласие на обработку файлов «cookie».

5. Способы обработки: сбор, запись, систематизация, накопление, хранение, уточнение (обновление, изменение), извлечение, использование, передача (доступ, предоставление), блокирование, удаление, уничтожение персональных данных.

6. Срок обработки и хранения: до получения от Субъекта персональных данных требования о прекращении обработки/отзыва согласия.

7. Способ отзыва: заявление об отзыве в письменном виде путём его направления на адрес электронной почты Оператора: info@rcsi.science или путем письменного обращения по юридическому адресу: 119991, г. Москва, Ленинский просп., д.32А

8. Субъект персональных данных вправе запретить своему оборудованию прием этих данных или ограничить прием этих данных. При отказе от получения таких данных или при ограничении приема данных некоторые функции Сайта могут работать некорректно. Субъект персональных данных обязуется сам настроить свое оборудование таким способом, чтобы оно обеспечивало адекватный его желаниям режим работы и уровень защиты данных файлов «cookie», Оператор не предоставляет технологических и правовых консультаций на темы подобного характера.

9. Порядок уничтожения персональных данных при достижении цели их обработки или при наступлении иных законных оснований определяется Оператором в соответствии с законодательством Российской Федерации.

10. Я согласен/согласна квалифицировать в качестве своей простой электронной подписи под настоящим Согласием и под Политикой обработки персональных данных выполнение мною следующего действия на сайте: https://journals.rcsi.science/ нажатие мною на интерфейсе с текстом: «Сайт использует сервис «Яндекс.Метрика» (который использует файлы «cookie») на элемент с текстом «Принять и продолжить».