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The Impact of Job Role on Health-Care Workers’ Definitions of Patient-Centered Care

机译：工作角色对患者中心护理的医疗工作者的定义的影响

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While patient-centered care (PCC) is a widely accepted aspect of health-care quality, its definition is still the subject of debate. We investigated health-care workers’ definitions of PCC by level of patient contact in job roles. Our qualitative study involved semi-structured interviews with key stakeholder employees (n ? 66) at 6 Veterans’ Affairs health-care locations in Southern California. Interviews were recorded, transcribed, coded for definitions of PCC, and analyzed by participants’ self-described level of patient contact. Stakeholders whose role primarily involved patient contact tended to define PCC through: patient as a person, patient preferences, and shared decision-making. Stakeholders whose role did not primarily involve patient contact tended to define PCC through: patient-centered redesign, customer service, and access to services. Stakeholders with more patient contact emphasized patient-level and interpersonal concepts, while those with less patient contact emphasized systemlevel and business-oriented concepts. The focus on PCC-as-access may reflect influence of changing institutional climate on definitions of PCC for some stakeholders. To facilitate successful PCC efforts, health-care systems may need to leverage differing but complementary definitions of PCC within its workforce.
机译：虽然以患者为中心的护理（PCC）是卫生保健品质的广泛接受的方面，但其定义仍然是辩论的主题。通过在工作角色的患者联系水平上调查了医疗职工对PCC的定义。我们的定性研究涉及在南加州6名退伍军人的事务保健地点与主要利益相关者雇员（N？66）的半结构化访谈。录制了采访，转录，编码PCC定义，并由参与者自我描述的患者接触分析。利益相关者主要涉及患者接触的角色倾向于定义PCC：患者作为一个人，患者偏好和共享决策。利益相关者，其角色没有主要涉及患者接触倾向于定义PCC：以患者为中心的重新设计，客户服务和服务。利益相关者具有更多患者的联系强调患者水平和人际关系的概念，而患者较少的人联系强调Systemlevel和以商业为导向的概念。关注PCC免接近可能反映改变制度气氛对一些利益攸关方对PCC定义的影响。为促进成功的PCC努力，卫生保健系统可能需要利用不同但在其劳动力中的PCC互补定义。

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