Article

PURPOSE : To understand from the perspective of a patient with a distal radius fracture: if
the Patient Perception of Patient-Centeredness Questionnaire (PPPC) subscales
apply to distal radius fracture populations; the strongest and weakest areas of
patient-centered care; changes in patient perceptions of patient-centeredness
during recovery; and, correlations between aspects of patient-centered care and
patient reported pain and disability. METHODS: Patients with distal radius
fractures (n = 129; mean age = 54.03, SD = 14.63) completed the Patient Rated
Wrist Evaluation (PRWE) and PPPC, at baseline (less than 10 days post-fracture)
and at three months post-injury. Outcome measure responses were factor analyzed
and tested for correlations. RESULTS: Factors identified were titled
Clinician-Patient Dialogue, representing communication components of
patient-centered care, and Clinician-Patient Alliance, representing partnership
components of patient-centered care. Small significant correlations (r = 0.22)
between PRWE and PPPC responses were observed with Clinician-Patient Alliance
more correlated at baseline
and Clinician-Patient Dialogue at follow-up.
DISCUSSION: Important aspects of the patient-clinician dynamic were identified.
CONCLUSIONS: Communication between clinician and patient was perceived most favorably at baseline; and partnership improved by three months. LEVEL OF EVIDENCE: 1b.
CI - Copyright (c) 2014 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS