Article Text
Abstract
Introduction The impact of patient centredness (PC) in healthcare has grown over the years. However, conceptualisations of PC are heterogeneous. Existing patient-reported measures of PC have shown inconsistencies and shortcomings. This impedes the comparison of results across studies. To foster PC, it is important to know which dimensions matter most to patients and to be able to measure its current extent from the patients’ perspective. This study aims (1) to assess relevance of dimensions of PC from the patients’ perspective, (2) to develop and psychometrically test a core set of patient-reported experience measures (PREMs) assessing PC and (3) to investigate the feasibility of implementation of this core set in routine healthcare.
Methods and analysis A mixed-methods approach will be used. In phase 1, 200 patients will assess the relevance of the dimensions of PC in a Delphi study using a plain language description. In phase 2, the core set of PREMs will be developed through literature reviews, focus groups, key informant interviews and content validity ratings. The core set will be tested psychometrically in a cross-sectional study with 2000 inpatient and outpatients with different chronic conditions (ie, cancer, cardiovascular diseases, mental disorders and musculoskeletal disorders). In phase 3, the feasibility of implementation of the core set will be assessed through semistructured interviews with healthcare practitioners after piloting in routine care. Furthermore, an expert workshop will be held on how to foster implementation.
Ethics and dissemination The study will be carried out in accordance to the latest version of the Helsinki Declaration of the World Medical Association and principles of good scientific practice. The study was approved by the Ethics Committee of the Medical Association Hamburg, Germany (study ID: PV5724). The study results will be disseminated in scientific journals and through collaboration partners and plain language press releases.
- patient-centeredness
- mixed-methods
- patient-reported experience measures
- measurement
- health care
- psychometrics
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Footnotes
EC and SZ contributed equally.
Contributors EC and SZ contributed to the specification of the study design and wrote the first draft of the manuscript in equal shares. IS, PH, LK and MH conceptualised and designed the study, wrote the grant proposal and obtained funding. They also critically revised the manuscript for important intellectual content. IS is the responsible primary investigator of the project. All authors gave final approval of the version to be published and agree to be accountable for the work.
Funding This work is funded by the German Federal Ministry of Education and Research (Bundesministerium für Bildung und Forschung–BMBF) with grant number 01GY1614.
Disclaimer The funder reviewed and approved the study design during the grant application process, but had no role in decision to publish or preparation of the manuscript.
Competing interests None declared.
Patient consent Not required.
Ethics approval Ethics Committee of the Medical Association Hamburg, Germany (study ID: PV5724).
Provenance and peer review Not commissioned; peer reviewed for ethical and funding approval prior to submission.