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PCCD Literature summary 2017/2018

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All literature from week 1 till week 6 summarized and elaborated including pictures! This summary was made in the academic year 2017/2018 by 5 diligent students. This way we all achieved our courses without resits. Buy it now!

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September 25, 2018
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PCCD LITERATUUR AANTEKENINGEN
Week 1:
1. Rathert et al. 2013
2. Jayadevappa and Chatre 2011
3. Silow et al. (not mandatory for examinatonn geen idee waar ali deze vandaan heef getoverd)
4. Lacy et al. 2008
5. Schwenk et al. 2014
6. Friedberg et al. 2014

Week 2:
1. Whitney et al. 2003
2. Sandman and Munthe 2009
3. Barrat et al. 2008
4. King et al. 2006

Week 3:
1. Cramm and Nieboer 2015
2. Gitell 2011
3. Wagnern Bennet et al. 2005
4. Cramm & Nieboer 2012

Week 5:
1. Seelemann et al. 2009
2. Whitehead 2007
3. Marmot 2007
4. Nieboer & Lindenberg 2002

Week 6:
1. Van Dijkn Cramm & Nieboer 2013
2. Epping-Jordan et al. 2004
3. Menec et al. 2011
4. Barr et al. 2003


5.




1

,PCCD Literature week 1
Rathert et al. (2012): “Pateet-Ceetered Care aed outcomes: A systematc reeiew of the literature.”
Aim: to examine the PCC literature with atennon how PCC has been operanonalized, and how it has been
empirically associated with outcomes.

Eight dimensions (defned PCC by patents))
1. Respect for patent preferencesn valuesn expressed needs.
2. Informatonn educaton and communicaton.
3. Coordinaton and integraton of care and services.
4. Emotonal support.
5. Physical comfort.
6. Involvement of family and close others.
7. Contnuity and transiton from hospital to home.
8. Access to care and services.

Moderatng vs. mediatng variables)
 Moderatng variables indicate conditons under which an independent variable may infuence
outcomes.
 Mediatng variables help explain how or why a relatonship exists between an independent variable
and an outcome.

Two elements of process)
1. Technical processes) includes appropriate diagnosis and strategies for care based on knowledgen
judgement and skills in implementng the strategy.
2. Interpersonal processes) include exchange of informaton necessary for an accurate diagnosisn and to
determine preferences and acceptability for specifc care methods.


Jayadeeappa aed Chatre (2011): “Pateet Ceetered Care – A coeceptual model aed reeiew of the state of
the art.”
Patent centered care (PCC))
 Improved communicatonn
 Appropriate interventonn
 Enhanced satsfactonn
 Patent reported outcomesn
 Biomedical outcomes.

PCC implies individualized patent care based on patent-specifc informaton.

Implementaton of PCC led to a decrease in the average length of stayn improved patent satsfacton and
efficient and eeectve treatmentsn leading to lower costs of care.

Eeectvely operatonalize PCC)
 Through educatonn
 Shared knowledgen
 Integrated and team managementn
 Free fow and accessibility of valued informaton.

Dimensions of PCC)
1. Respectng patent’s individuality.
2. Coordinaton of care that is unique to the environment of hospitals and healthcare facilites.
3. Communicaton between patents and providers (physicians and nurses).
4. Interventon strategies for improving quality of PCC within an insttuton.
5. Minimizing physical trauma during acute care.



2

, 6. Supportng patent’s social and emotonal needsn role of familiesn and contnuity of care.

Cultural competences set out to make healthcare equitable for alln whereas PCC sets out to elevate healthcare
quality.
Both)
1. Understand and are interested in the patent as a unique person.
2. Use a bio-psychosocial model.
3. Explore and respect patent’s beliefsn valuesn meaning of illnessn preferences and needs.
4. Build rapport (?) and trust.
5. Find common ground.
6. Maintain and are able to convey unconditonal positve regard.
7. Are aware of their own biases/assumptons.
8. Allow the involvement of friends/family when desired.
9. Provide informaton and educaton tailored to patent’s level of understanding.

Silow et al (waar komt deze eaedaae?)
Devised a list of eight care components of PCC that are especially pertaining to underserved populatons)
1. Welcoming environment.
2. Respect to patent’s values and expressed needs.
3. Patent empowerment or “actvaton”.
4. Socio-cultural competence.
5. Coordinaton and integraton of care.
6. Comfort and support.
7. Access and navigaton skills.
8. Community outreach.

PCC model integrates)
1. Understanding the patent and the illness.
2. Arriving at mutual understanding regarding illness management and therapeutc alliance.
3. Providing valued informaton.
4. Enhancing hospitaln doctor and patent relatonship.
5. Sensitvity about resource allocaton and cost.

Lacy et al. (2008): “Eeideece-based aed pateet-ceetered care: results from ae STFM group project.”
 EBPCC = evidence-based patent centered care.
 EB = evidence based medicine.
The consciennous, explicit and judicious use of current best evidence in making decisions about the
care of panents.
 PCC) The interweaving of six components)
1. Exploraton of “both the disease and the illness experience
2. Understanding the whole personn
3. Finding common groundn
4. Incorporatng preventon and health promotonn
5. Enhancing the patent-doctor relatonshipn
6. Being realistc.

Conceptual models
 Integrated (EBPCC = a combinaton of EBM + PCC))
Group members conceptualized overlapping areas, creanng a band of pracnces in which the
pracnnoner applies concept from both spheres.
 Either/or (EBM / PCC))
Each approach was disnnct from the other.
 Contnuum (or Balance = EBM - PCC))
EBPCC ranged from purely EB to purely PC. This model suggests a point at which a clinician
incorporates both panent centeredness and EBM and that the best pracnce involved balancing the
two.



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