Machteld Huber|Marja van Vliet|M Giezenberg|Björn Winkens|Yvonne Heerkens|Pieter C. Dagnelie|J. A. Knottnerus
Towards a ‘patient-centred’ operationalisation of the new dynamic concept of health: a mixed methods study
Louis Bolk Instituut|Mid Sweden University|Louis Bolk Instituut|Maastricht University|HAN University of Applied Sciences|Maastricht University|Scientific Council for Government Policy|Maastricht University
evaluate among stakeholders support new dynamic concept health published 2011 health ability adapt selfmanage elaborate perceived indicators health order make concept measurablea mixed methods study qualitative first step interviews focus groups followed quantitative surveyrepresentatives seven healthcare stakeholder domains example healthcare providers patients chronic condition policymakers qualitative study involved 140 stakeholders survey 1938 participantsthe new concept appreciated addresses people illness focuses strengths rather weaknesses caution needed concept requires substantial personal input everyone capable qualitative study identified 556 health indicators categorised six dimensions bodily functions mental functions perception spiritualexistential dimension quality life social societal participation daily functioning 32 underlying aspects quantitative study showed stakeholder groups considering bodily functions represent health whereas dimensions significant differences groups patients considered six dimensions almost equally important thus preferring broad concept health whereas physicians assessed health narrowly biomedically qualitative study 78 respondents considered health indicators represent conceptto prevent confusion health absence disease propose use term positive health broad perception health six dimensions preferred patients broad perception deserves attention healthcare providers may support shared decisionmaking medical practice policymakers broad perception positive health valuable bridges gap healthcare social domain may demedicalise societal problems