Prioritising person-centred care - the evidence

Date Reviewed:

This series of booklets summarises evidence from 779 systematic reviews on ways to make person-centred care happen.  The booklets cover: self-management support; shared decision making; enhancing experience of healthcare; improving information and understanding; and promoting prevention. 

The booklets are designed to provide accessible and accurate information so that commissioners, health professionals and service user groups can see what works best and how to invest time and resources.  Each booklet includes a full discussion of the detailed evidence, full references and live links to the research reviews.

Supporting self-management support

This booklet sets out research findings of the benefits of supporting people to self-manage.  It also sets out the evidence for the impact of self-management education for patients, proactive telephone and psychosocial support, home-based self-monitoring and simplified dosing strategies and information.  It concludes that the top three things that might most usefully be invested in are disease specific, generic and on-line self-management courses, proactive telephone support and self monitoring of symptoms and vital signs.

Supporting shared decision making

This booklet sets out evidence for why shared decision making is important and research findings of the impact of: Patient Decision Aids; coaching and question prompts for patients; patient access to medical records; and training for professionals in implementing shared decision making.

Enhancing experience

This booklet sets out the eight aspects of healthcare that research has identified that people consider most important.  It summarises the findings from 110 systematic reviews of research into: using direct feedback from patients to make improvements; providing information to support patient choice; patient-centred consultation styles; improving communication skills amongst clinicians; and service redesign to support patients and carers.  It concludes that the top 3 most useful initiatives are communication skills training for clinicians, person-centred communication including improved consulting styles and longer consultations, and using feedback to guide improvements.

Improving information and understanding

This booklet defines health literacy as including the knowledge, motivation and competencies of accessing, understanding, appraising and applying health-related information and sets out why improving information and understanding is important. It summarizes the evidence from 85 systematic reviews of the impact of different approaches to improving information and understanding, including the provision of printed materials, electronic health information and telephone support.

 

Promoting prevention

This booklet summarises evidence from 308 systematic reviews and concludes that providers and commissioners wanting to enhance experience should consider investing in: opportunistic advice from health professionals in hospital, primarycare and workplace; targeted health promotion / social marketing programmes; proactive telephone counselling using motivational techniques; self-help programmes and websites; parenting programmes and home visits; jealth education in schools including attention to social and emotional wellbeing; coordinated sexual health strategies including one-to-one counselling; and physical activity programmes for older people

 

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