Sanne Jannick Kuipers|Anna P. Nieboer|Jane Murray Cramm
Views of patients with multi-morbidity on what is important for patient-centered care in the primary care setting
Erasmus University Rotterdam|Erasmus University Rotterdam|Erasmus University Rotterdam
abstract background patientcentered care pcc proposed way forward improving primary care patients multimorbidity however clear pcc exactly looks like practice patients multimorbidity better understanding multimorbid patients views pcc look like elements important may help improve care delivery vulnerable population present study thus aimed identify views patients multimorbidity relative importance pcc aspects dutch primary care setting methods interviews conducted 16 patients multimorbidity using qmethodology combines quantitative qualitative analyses participants ranked 28 statements eight dimensions pcc patients preferences information education access care emotional support family friends continuity transition physical comfort coordination care relative importance byperson factor analysis using centroid factor extraction varimax rotation used reveal factors represent viewpoints qualitative interview data used interpret viewpoints results analyses revealed three factors representing three distinct viewpoints patients multimorbidity important patientcentered care primary care setting patients viewpoint 1 prepared proactive patients seem welloff want charge care seek medical information prefer supported strongly coordinated multidisciplinary team healthcare professionals patients viewpoint 2 everyday patients visit gps require wellcoordinated respectful supportive care patients viewpoint 3 vulnerable patients less resourceful terms communication skills finances thus require accessible care professionals taking lead treating dignity respect conclusion findings study suggest patients multimorbidity require type care delivery aspects pcc delivery equally important patients