• Adult congenital heart disease
• COVID-19
• Patient attitudes
• Patient experience
• Telemedicine

• Humans
• Heart Defects, Congenital/therapy
• Heart Defects, Congenital/psychology
• Female
• Male
• Adult
• COVID-19/epidemiology
• Telemedicine
• Cross-Sectional Studies
• Middle Aged
• SARS-CoV-2
• Young Adult
• Pandemics

• Alzheimer’s disease
• cognition
• dementia
• memory
• nurses
• nursing homes
• reminiscence

• Humans
• Dementia/psychology
• Dementia/therapy
• Qualitative Research
• Female
• Male
• Patient-Centered Care
• Aged
• Narration
• Middle Aged
• Caregivers/psychology
• Mental Recall
• Aged, 80 and over
• Interviews as Topic
• Mobile Applications

• Digital Health Collaborative Research Centre

• SDM
• anxiety disorder
• person-centered care
• primary care
• shared decision-making
• training program

• Humans
• Female
• Male
• Anxiety Disorders/therapy
• Anxiety Disorders/psychology
• Spain
• Feasibility Studies
• Patient-Centered Care
• Adult
• Middle Aged
• Internet
• Health Personnel/education
• Health Personnel/psychology
• Decision Making, Shared
• Internet-Based Intervention
• Attitude of Health Personnel
• Generalized Anxiety Disorder

• Patient-centred care
• cardiovascular diseases
• needs assessment
• occupational health
• occupational health services
• qualitative research
• sick leave

• Humans
• Patient-Centered Care
• Male
• Female
• Qualitative Research
• Middle Aged
• Cardiovascular Diseases/therapy
• Adult
• Interviews as Topic
• Communication
• Empathy
• Occupational Health Services
• Aged
• Needs Assessment

• Adolescent psychiatry
• Ireland
• attention deficit hyperactivity disorder (ADHD)
• child and adolescent mental health services (CAMHS)
• child psychiatry
• experience of service questionnaire
• patient/service user satisfaction

• Child
• Adolescent
• Humans
• Attention Deficit Disorder with Hyperactivity/diagnosis
• Parents/psychology
• Surveys and Questionnaires
• Caregivers

• LGBTQ +
• health equity.
• health policy

• Adult
• Female
• Humans
• Sexual Behavior/psychology
• Sexual and Gender Minorities
• Gender Identity
• Homosexuality, Female
• Bisexuality
• Transgender Persons
• Male

• Patient-Reported Outcome Measures
• Quality indicators
• Quality of diabetes care
• Type 2 diabetes

• Humans
• Female
• Diabetes Mellitus, Type 2/therapy
• Cross-Sectional Studies
• Israel
• Surveys and Questionnaires
• Patient Reported Outcome Measures

• P30 DK111022 NIDDK NIH HHS

• Australia
• Communication education
• Communication policy
• Communication practice
• Communication research
• New Zealand

• Infant, Newborn
• Humans
• Kenya
• Government Programs
• Health Facilities
• Infant Health
• Policy

• 207522 Wellcome Trust
• 207522 Wellcome Trust
• MR/T017759/1 Medical Research Council
• NIHR130812 Department of Health
• 092654 Wellcome Trust

• COVID-19
• healthcare outcomes
• online reviews
• patient satisfaction ratings
• patient-reported outcomes

• n/a Vanguard Communications

• Healthcare strategy
• Patient autonomy
• Patient involvement
• Patient-centered care
• Shared decision making

• Humans
• Patient Participation
• Health Personnel
• Health Literacy/methods
• Patients

• Humans
• Aged
• United States
• Inpatients
• Medicare
• Hospitals
• Surveys and Questionnaires
• Patient Satisfaction

• Arabic version
• Saudi Arabia
• arab countries
• person-centered care
• psychometrics analysis

• Communication
• Disparities
• Healthcare quality
• Patient perceptions
• Patient-centered care
• Patient-centered communication
• Patient-provider communication

• Adult
• Humans
• Communication
• Patient-Centered Care
• Quality of Health Care
• Surveys and Questionnaires
• Decision Making

• U18 HS016978 AHRQ HHS
• UL1 TR001863 NCATS NIH HHS
• Agency for Healthcare Research and Quality

• Cancer health services
• Lung cancer mortality
• Patient experiences with care
• Racial ethnic disparities

The Partnership Enhancement Program (PEP) is a 6-hour relationship-centered communication training for intact cystic fibrosis (CF) teams. The aim of this study was to analyze qualitative responses from survey participants regarding their takeaways from the training. A total of 210 professionals participated in 20 pilot workshops at 19 care centers in the United States from November 2018 to December 2019. After the workshop, qualitative feedback was captured by PEP facilitators during a feedback gathering session or submitted immediately in writing by participants. The manuscript team used grounded theory and qualitative methods of coding to identify recurring themes across participant responses. Thematic analysis revealed 5 primary themes and a web of interconnected subthemes. Primary themes include the acquisition of skills to improve communication, strengthened patient/provider connection, improved quality of communication, improved team building, and the ability to change and enhance practice. Participants who completed PEP training endorse acquiring communication skills that increase coproduction of care with patients and caregivers as well as improve relationships across the healthcare system.

• Hospital readmission
• Ischemic heart disease
• Mortality
• Psychosocial factors
• Psychosocial healthcare

Healthcare professionals need to be prepared to promote healthy lifestyles and care for patients. By focusing on what students should be able to perform one day as clinicians, we can bridge the gap between mere theoretical knowledge and its practical application. Gender aspects in clinical medicine also have to be considered when speaking of personalized medicine and learning curricula.

To determine sets of intellectual, personal, social, and emotional abilities that comprise core qualifications in medicine for performing well in anamnesis-taking, in order to identify training needs.

An analysis of training clinicians’ conceptions with respect to optimal medical history taking was performed. The chosen study design also aimed to assess gender effects. Structured interviews with supervising clinicians were carried out in a descriptive study at the Medical University of Vienna. Results were analyzed by conducting a qualitative computer-assisted content analysis of the interviews. Inductive category formation was applied. The main questions posed to the supervisors dealt with (1) Observed competencies of students in medical history taking; and (2) The supervisor’s own conceptions of "ideal medical history taking".

A total of 33 training clinicians (n = 33), engaged in supervising medical students according to the MedUni Vienna’s curriculum standards, agreed to be enrolled in the study and met inclusion criteria. The qualitative content analysis revealed the following themes relevant to taking an anamnesis: (1) Knowledge; (2) Soft skills (relationship-building abilities, trust, and attitude); (3) Methodical skills (structuring, precision, and completeness of information gathering); and (4) Environmental/contextual factors (language barrier, time pressure, interruptions). Overall, health care professionals consider empathy and attitude as critical features concerning the quality of medical history taking. When looking at physicians’ theoretical conceptions, more general practitioners and psychiatrists mentioned attitude and empathy in the context of "ideal medical history taking", with a higher percentage of females. With respect to observations of students’ history taking, a positive impact from attitude and empathy was mainly described by male health care professionals, whereas no predominance of specialty was found. Representatives of general medicine and internal medicine, when observing medical students, more often emphasized a negative impact on history taking when students lacked attitude or showed non-empathetic behavior; no gender-specific difference was detected for this finding.

The analysis reveals that for clinicians engaged in medical student education, only a combination of skills, including adequate knowledge and methodical implementations, is supposed to guarantee acceptable performance. This study’s findings support the importance of concepts like relationship building, attitude, and empathy. However, there may be contextual factors in play as well, and transference of theoretical concepts into the clinical setting might prove challenging.

• Medical history taking
• Attitude
• Empathy
• Training
• Physicians’ view

• environment
• healthcare
• patient participation
• patient-reported instruments
• scoping review

• Health Facilities
• Humans
• Patient Participation
• Quality of Health Care

• dietetics
• nutrition therapy
• patient participation
• patient preference
• patient-centered care
• rehabilitation

• Adult
• Dietetics
• Humans
• Nutrition Therapy
• Nutritionists
• Patient-Centered Care
• Referral and Consultation

Purpose: Hospitals aspire to provide patient-centered care but are far from achieving it. This qualitative mixed methods study explored the capacity of hospital directors to shift from a hospital systemic-view to a suffering patient-view applying the Salutogenic theory.

Methods: Following IRB, we conducted in-depth narrative interviews with six directors of the six Israeli academic tertiary public hospitals, focusing on their managerial role. In a second meeting we conducted vignette interviews in which we presented each director with a narrative of a suffering young patient who died at 33 due to medical misconduct, allowing self-introspection. Provisional coding was performed for data analysis to identify categories and themes by the three dimensions of the sense-of-coherence, an anchor of Salutogenics: comprehensibility, manageability, and meaningfulness.

Results: While at the system level, directors reported high comprehensibility and manageability in coping with complexity, at the patient level, when confronted with the vignette, directors acknowledged their poor comprehensibility of patients' needs and patient's experience during hospitalizations. They acknowledged their poor capacity to provide patient-centered care. Meaningfulness in the narrative interview focused on the system while meaningfulness in the vignette interview focused on providing patient care.

Conclusions: The evident gaps between the system level and the patient level create lack of coherence, hindering the ability to cope with complexity, and are barriers to providing patient-centered care. To improve the delivery of patient-centered care, we suggest ways to consolidate the views, enabling the shift from a systemic-view to a patient-view.

• Adaptation, Psychological
• Hospitals
• Humans
• Sense of Coherence

• Dental pulp diseases
• endodontic study outcomes
• scoping review

• Apexification
• Dental Pulp Cavity
• Humans
• Outcome Assessment, Health Care
• Prospective Studies
• Quality of Life
• Retreatment
• Retrospective Studies

• Medicare Advantage CAHPS
• care continuity
• patient experience
• quality of ambulatory care

• CAHPS
• gender concordance
• patient experience

• Health Care Surveys
• Humans
• Patient Care
• Patient Satisfaction
• Physician-Patient Relations
• Physicians
• United States

• U18 HS016978 AHRQ HHS
• UL1 TR001863 NCATS NIH HHS
• U18HS016978 AHRQ HHS
• Agency for Healthcare Research and Quality
• Centers for Medicare and Medicaid Services

Patient experience is critically important on both clinical and business levels to healthcare organizations, medical groups, and physician practices. We sought to understand whether a relationship exists between patient satisfaction scores in different settings for medical providers who practice in multiple settings (such as in the ambulatory setting and the hospital) within a system. Press Ganey (PG) ambulatory and hospital-based patient satisfaction surveys of a neurosurgery practice were retrospectively compared. Questions and sections related to the care provider, likelihood to recommend, and overall experience were examined. The ambulatory dataset included 2270 surveys, and the hospital dataset included 376. Correlation analysis of hospital survey patients who also completed an ambulatory survey (N = 120) was conducted, and weak, yet statistically significant, negative correlations between hospital “Likelihood to Recommend” and ambulatory “Care Provider Overall” (r = −0.20421, p = 0.0279), “Likelihood to Recommend” (r = −0.19622, p = 0.0356), and “Survey Overall” (r = −0.28482, p = 0.0019) were found. Our analyses found weak, yet significant, negative correlations between ambulatory and hospital PG scores. This could suggest that patient perception established in ambulatory and clinic settings could translate to a patient’s perception of their hospital experience and subsequent satisfaction scores.

• Press Ganey
• neurosurgery practice
• patient satisfaction
• quality improvement

• Caregivers
• Hospitals
• Patient experience
• Patients
• Psychometrics
• Quality of healthcare
• Surveys and questionnaires
• Transitional care

• Caregivers
• Humans
• Patient Transfer
• Psychometrics
• Reproducibility of Results
• Surveys and Questionnaires

• U54 GM104940 NIGMS NIH HHS

In response to the SARS-CoV-2 pandemic, physician attire has evolved to incorporate personal protective equipment (PPE). Although PPE is mandated for all healthcare workers, variability exists in choice and availability. The purpose of this study was to determine patient perception of physician attire during the COVID-19 pandemic in an outpatient setting.

Three hundred sixty-eight patients who presented to our outpatient orthopaedic clinics completed an anonymous survey. In addition to demographic characteristics, patient preferences for attire, PPE, and social distancing were obtained.

Scrubs (81%, 298/368) were found to be the most acceptable physician attire. Eye protection (34.2%, 126/368) and gloves (32.6%, 120/368), however, were deemed much less acceptable; 93.5% (344/368) of patients reported that no mask was unacceptable, with 41.0% (151/368) preferring a surgical mask. Predilection for a surgical mask and N95 rose with increasing patient education level. Interestingly, 55.2% (203/368) responded that physicians should stop wearing PPE only when the Center for Disease Control recommends.

During the COVID-19 pandemic, most of the patients found scrubs to be the most acceptable attire in an office-based outpatient setting. Patients also found physician mask-wearing to be important but are less accepting of providers wearing eye and hand protection.

• Communication
• Health Personnel
• Humans
• Patient-Centered Care
• Professional-Patient Relations
• United States
• Veterans

• clinic care
• health care experiences
• health-related social needs
• patient perspectives/narratives

• UCSF SIREN Innovation Grants

• individualized care
• innovativeness
• nursing students

• ACTION IO
• Saudi Arabia
• obesity
• obesity management
• perceptions

• accreditation
• efficiency, organizational
• health policy
• organisational culture
• performance measures

Patient engagement (PE) has become embedded in discussions about health service planning and quality improvement, and the goal has been to find ways to observe the potential beneficial outcomes associated with PE. Patients and health care professionals use various terms to depict PE, for example, partnership and collaboration. Similarly, tokenism is consistently used to describe PE that has gone wrong. There is a lack of clarity, however, on the meanings and implications of tokenism on PE activities. The objective of this concept analysis was to examine the peer-reviewed and gray literature that has discussed tokenism to identify how we currently understand and use the concept. This review discusses 4 dimensions of tokenism: unequal power, limited impact, ulterior motives, and opposite of meaningful PE. These dimensions explicate the different components, meanings, and implications of tokenism in PE practice. The findings of this review emphasize how tokenism is primarily perceived as negative by supporters of PE, but this attribution depends on patients’ preferences for engagement. In addition, this review compares the dimensions of tokenism with the levels of engagement in the International Association of the Public Participation spectrum. This review suggests that there are 2 gradations of tokenism; while tokenism represents unequal power relationships in favor of health care professionals, this may lead to either limited or no meaningful change or change that is primarily aligned with the personal and professional goals of clinicians, managers, and decision-makers.

• concept analysis
• content analysis
• meaningful engagement
• patient engagement
• patient perspectives/narratives
• qualitative evidence synthesis
• qualitative methods
• tokenism

• PCQ-P – Arabic version
• hospital
• patients’ perspective
• person-centered care

• received no specific funding for this research

• Measurement-Based Care
• Measures
• Patient-Provider Relations
• Patient-Reported Experience
• Patient-Reported Outcome Measures
• Veterans

• Adult
• Aged
• Ambulatory Care Facilities
• Communication
• Female
• Humans
• Male
• Mental Health
• Mental Health Services/statistics & numerical data
• Middle Aged
• Outcome Assessment, Health Care
• Patient Reported Outcome Measures
• Patient Satisfaction
• Physician-Patient Relations
• Quality of Health Care
• Surveys and Questionnaires
• United States
• United States Department of Veterans Affairs
• Veterans/psychology
• Veterans Health

• Belgium
• Hospitals
• Humans
• Patient Satisfaction
• Quality Improvement
• Surveys and Questionnaires
• Time Factors

• Research Chair Zorgnet-Icuro

• PPOS
• health-care professionals
• person-centred care
• primary care
• validation

• Emergency Medicine
• Gender Concordance
• Operations
• Patient Experience
• Patient Satisfaction
• Sex and Gender

• cardiology
• epidemiology
• public health
• quality in health care
• rehabilitation medicine

• Aged
• Anxiety
• Cohort Studies
• Delivery of Health Care
• Female
• Heart Diseases/epidemiology
• Humans
• Prevalence

• REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care
• University of Southern Denmark
• The Danish Heart Foundation
• National Institute of Public Health

• acute care
• mixed methods
• nursing
• participation
• patient and family-centred care

• LGBTQ
• digital health
• health care disparities
• health care quality
• infodemiology
• sentiment analysis
• sexual and gender minorities
• social media

• Adult
• Female
• Healthcare Disparities/standards
• Humans
• Male
• Sexual Behavior/psychology
• Sexual and Gender Minorities/statistics & numerical data
• Social Media/standards

• U54 HG007963 NHGRI NIH HHS

• Communication
• curriculum design
• curriculum integration
• relationship-centered care
• undergraduate medical education