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091 Person-centered care and shared decision-making in primary care: perspectives of professionals
  1. Himar González-Pacheco1,2,3,
  2. Yolanda Ramallo-Fariña1,2,3,
  3. Miguel Ángel García-Bello1,2,3,
  4. Amado Rivero-Santana1,2,3,
  5. Yolanda Álvarez-Pérez1,2,3
  1. 1Canary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain
  2. 2Network for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Madrid, Spain
  3. 3Spanish Network of Agencies for Assessing National Health System Technologies and Performance (RedETS), Tenerife, Spain

Abstract

Introduction Person-Centered Care (PCC) and Shared Decision-Making (SDM) foster active collaboration between healthcare professionals and patients.1 This study evaluates PCC and SDM perceptions, along with sociodemographic and professional correlates, among professionals caring for patients with chronic diseases in Primary Care Centers (PC).

Methods In a Tenerife (Spain) longitudinal observational study, healthcare professionals’ baseline perceptions of PCC and SDM in Primary Care (PC) were explored. Primary measures used the PACIC (1–5 range) for PCC and SDM9-Doc (0–45 range) for SDM. Secondary measures included LATCon II (0–60 range) for attitudes and NEO-FFI (0–48 range) for personality traits. Higher scores indicate improved perceptions. Descriptive analysis covered professionals’ characteristics, outcome measures, and bivariate analysis explored associations between PCC, SDM, and other variables.

Results Involving 51 health professionals (60.8% doctors, 39.2% nurses), with a mean age of 44.3±11.1 years, predominantly female (76.5%). Professionals had an average experience of 17.4±10.6 years, 6.0±7.5 years in the current job, and saw a mean of 31.9±12.7 patients daily. Baseline scores revealed means of 3.4±0.5 on PACIC, 31.7±5.5 on SDM9-Doc, 43.2±5.7 on LATCon II, and 34.6±4.5 on NEO-FFI. Notably, women scored higher on PACIC (3.5±0.4) than men (3.0±0.5) (p=0.008). While SDM scores were higher in women (32.5±5.8) than men (29.3±3.6), the difference was not statistically significant (p=0.074). No associations were observed with other variables.

Discussion The study reveals a consistent perception of PCC and SDM among healthcare professionals in PC. Notably, female scored higher, suggesting a potential gender influence. Despite varied sociodemographic factors, professionals generally demonstrated a commitment to PCC.

Conclusions The professionals’ self-perception about their application of PCC and SDM in primary care is quite uniform across their sociodemographic, professional, and personality/attitudinal characteristics, except for sex, with women obtaining higher scores than men. Future research should evaluate whether patients‘ perception of the care received coincides with professionals’ perspective.

Reference

  1. Scholl I, et al. An integrative model of patient-centeredness - a systematic review and concept analysis. PLoS One. 2014;9(9):e107828.

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