Association between person-centredness and financially driven postponement of care in European primary care: a cross-sectional multicountry study.

Association between person-centredness and financially driven postponement of care in European primary care: a cross-sectional multicountry study. CMAJ Open. 2018 Apr 18;6(2):E176-E183 Authors: Detollenaere J, Boeckxstaens P, Willems S Abstract BACKGROUND: Previous research has shown that person-centred care has beneficial effects on several health-related outcomes. We investigated the association between a general practitioner's person-centred attitude and financially driven postponement of care in European countries. METHODS: In this cross-sectional study, data were collected within the Quality and Costs of Primary Care in Europe study, which included 69 201 patients and 7183 general practitioners from 31 European countries (all 27 European Union member states, 2 candidate states [former Yugoslav Republic of Macedonia and Turkey], Norway and Switzerland). Financially driven postponement of care was measured by asking patients whether they had postponed care for financial reasons in the previous 12 months. We constructed a variable for person-centredness using a previously published conceptual framework: 1) exploring both the disease and the illness experience, 2) understanding the whole person, 3) finding common ground and 4) enhancing the patient-physician relationship. We analyzed the data using multilevel logistic regression modelling, adjusting for the strength of a country's primary care system. RESULTS: Havi...
Source: cmaj - Category: General Medicine Authors: Tags: CMAJ Open Source Type: research