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The importance of patient-centered care for various patient groups

机译：以患者为中心的护理对于各种患者群体的重要性

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Objectives: To assess differences in the importance ascribed to patient-centered care between various patient groups and demographic groups. Methods: Survey data collected using questionnaires were analyzed for patients that underwent hip or knee surgery (n=214), patients suffering from rheumatoid arthritis (n=343), spinal disk herniation (n=145), breast abnormalities (n=596) or congestive heart failure (n=118). A composite for patient-centered care priorities was constructed (α=0.82) and compared to the average importance over all healthcare aspects in the surveys. Results: All patient groups considered patient-centered care to be of above-average importance (p's <0.001). Small but significant differences were observed: patient-centered care was more important for patients suffering from congestive heart failure (p<0.001) and patients who were younger, female, well-educated and healthier (p's <0.05). Patients who had undergone hip or knee surgery considered patient-centered care more important than patients with spinal disk herniation did (p<0.05). Conclusion: Patient-centered care is important to all patient groups. Differential policies regarding patient-centered care for patient subgroups do not seem required. Practical implications: Given the importance attributed to patient-centered care, it is essential that elements of patient-centered care are included in surveys, indicators of quality of care, and the training of doctors and nurses.
机译：目的：评估不同患者群体和人口统计学群体在以患者为中心的护理重要性上的差异。方法：对使用髋关节或膝关节手术（n = 214），类风湿关节炎（n = 343），椎间盘突出症（n = 145），乳房异常（n = 596）的患者进行问卷调查，对调查数据进行分析。或充血性心力衰竭（n = 118）。构建了以患者为中心的护理优先事项的综合指数（α= 0.82），并与调查中所有医疗保健方面的平均重要性进行了比较。结果：所有患者组均认为以患者为中心的护理具有高于平均水平的重要性（p ＜0.001）。观察到的差异很小但差异很大：以患者为中心的护理对于患有充血性心力衰竭的患者（p <0.001）以及年轻，女性，受过良好教育且更健康的患者（p's <0.05）更为重要。接受髋关节或膝关节手术的患者认为，以患者为中心的护理比具有椎间盘突出症的患者更为重要（p <0.05）。结论：以患者为中心的护理对所有患者群体都很重要。似乎不需要针对患者亚组的以患者为中心的护理的差别政策。实际意义：考虑到以患者为中心的护理的重要性，以患者为中心的护理要素必须包括在调查，护理质量指标以及医生和护士的培训中。

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