Background
Patient centered care
The health care system and PCC in the Middle East and North Africa region
Method
Literature search
Study selection
Data extraction
Results
Description of the literature
Author and year | Country | Aim | Participant type | Study design and methods |
---|---|---|---|---|
Abdelhadi and Drach-Zahavy, 2012 [48. ] | Israel | To test a model that suggests that the ward’s climate of service facilitates nurses’ patient‐centred care behaviours through its effect on nurse work engagement | Nurses | Cross-sectional multi-level (nurses within wards) design |
Abdel-Tawab and Roter, 2002 [49. ] | Egypt | To examine the feasibility, acceptability, and effectiveness of client centered models of communication in 31 family planning clinics in Egypt | Physicians and clients requesting family planning methods | Quantitative interviews and questionnaire |
Abdulhadi et al., 2007 [50. ] | Oman | To explore the perceptions of type 2 diabetes patients regarding medical encounters and quality of interactions with their primary health-care providers | Diabetic patients | Qualitative: Explorative study using Focus group |
Ahmad et al.,2015 [51. ] | Pakistan | To assess the leaning of medical students towards either a doctor-centred or a patient-centred care, and to explore the effects of personal attributes on care such as gender, academic year, etc | Medical student | Cross-sectional |
Akkafi et al., 2019 [52. ] | Iran | This study measured the attitudes of patients’ family and personal caregivers (FPCs) and psychiatrists toward patient-centred care | Patients’ FPCs and psychiatrists | Descriptive questionnaire-based study |
Akturan et al., 2016 [53. ] | Turkey | To investigate the effect of the BATHE therapeutic interview technique on the empowerment of diabetes mellitus patients in primary care | Diabetic patients | A cluster randomised controlled study |
Alabdulaziz and Cruz, 2020 [54. ] | Saudi Arabia | To explore the perceptions of nursing students toward family-centered care in Saudi Arabia | Undergraduate nursing students | Cross-sectional survey method |
Alabdulaziz et al., 2017 [55. ] | Saudi Arabia | To explore family-centred care in the Saudi context from the perspectives of paediatric nurses | Paediatric nurses | Mixed method sequential exploratory design |
Alameddine et al., 2020 [56. ] | Dubai | To explore the perceptions of physicians in regard to SDM in a large private hospital network in Dubai, United Arab Emirates | Health care providers | Cross sectional |
Albougami et al., 2019 [57. ] | Saudi Arabia | To examine the perceptions of expatriate nurses in Saudi Arabia regarding the relationship between cultural competence and patient-centred care | Expatriate nurses | Cross-sectional descriptive correlational survey |
Alhalal et al., 2020 [58. ] | Saudi Arabia | To assess the predictors of patient‐centred care provision among nurses working in an acute care setting | Nurses | A cross‐sectional predictive design |
AlHaqwi et al., 2016 [59. ] | Saudi Arabia | To determine the perceptions of patients on whether they receive sufficient information about their medical problems, their preferences to obtain information, and factors that may influence their preferences | Patients attending the primary health center during the study | Cross-sectional, questionnaire-based study |
Aljaffary et al., 2020 [60. ] | Saudi Arabia | To measure patient perceptions of shared decision-making practices during clinical encounters in Saudi Arabia | Patients and physician | Cross sectional |
Al-Momani, 2010 [61. ] | Jordan | To assess the satisfaction of mothers with paediatric health care at the Paediatric Unit (PU) of Paediatric and Maternity Hospital, Al- Mafraq, Jordan | Mothers at a Paediatric Unit | A descriptive/ correlation survey |
Alshahrani et al., 2018 [62. ] | Saudi Arabia and Australia | To explore the nature of relatives’ involvement in the care of patients in acute medical settings in Australia and Saudi Arabia and to explore the perceptions, attitudes, and experiences of nurses | Female patients, their relatives, and nurses | Qualitative: Ethnography (Observation and interview) |
Aminaie et al., 2019 [63. ] | Iran | To explore the perception of barriers to decision making in Iranian patients with cancer regarding their care | Cancer patients | Qualitative: Incorporated individualized in depth and semi structured interview |
Baig et al., 2020 [64. ] | Pakistan | To explore significant facilitators and barriers to effective SDM as perceived by endocrinologists | Endocrinologists | Qualitative: In depth interview |
Bentwich et al., 2018 [65. ] | Israel | To explore whether normalization coping mechanisms exist among formal caregivers, reveal differences in its application among cross-cultural caregivers, and examine how coping mechanisms may related to implementing PCC for people with disability | Caregivers consisted of nurses, nurses’ aides, occupational therapists, and physiotherapists | Qualitative |
Bentwich et al., 2019 [66. ] | Israel | To explore caregivers’ verbal patterns for potential links between respect for the personhood of patients with dementia and caregiver use of figurative language | Caregivers three groups: Arabs, immigrants from the former Soviet Union and Jews born in Israel | Qualitative: using a discourse analysis of semi-structured interviews |
Cheraghi et al., 2017 [67. ] | Iran | To explore the process of providing patient-centred care in critical care units | Nurses, patients, and physician | Qualitative: used a grounded theory method semi structured interview |
Dormohammadi et al., 2010 [68. ] | Iran | To identify the most important expectations that patients have about their physicians | Hospitalized and ambulatory patients | Quantitative |
Drach-Zahavy, 2009 [69. ] | Israel | To assess the moderating effect of care orientation on the relationship of PCC to nurses’ physical and mental health | Registered Nurses | Cross sectional study |
Iran | To explore nurses’ attitudes and experiences towards the barriers to achieving patient centred care in the critical care setting | Nurses working in intensive care units | Qualitative: In depth semi-structured interview | |
Iran | To explore the perception of nurses working in critical care units about patient-centred care, which is a crucial factor in attaining quality in nursing care | Nurses in critical care | A qualitative exploratory study using semi structured interview | |
Esmaeili et al., 2016 [72. ] | Iran | To explore cardiac patients' perceptions of patient‐centred care | Cardiac patients | Qualitative: Semi structured interview |
Feeg et al., 2016 [73. ] | United States, Australia, and Turkey | To describe and compare how healthcare providers from three countries with varied cultural and healthcare systems perceive the concept of FCC by measuring attitudes, and to develop a psychometrically sound measure that would reflect “family-centredness.” | Providers working in paediatrics | multi-site comparative nonexperimental design |
Ghaffari et al., 2020 [74. ] | Iran | To determine the predictive values of patient‐centred communication and patient characteristics on body image perception in postmastectomy patients | Surgically treated breast cancer patients admitted to the oncology departments of two hospitals in Iran | Predictive correlational study |
Ghiyasvandian et al., 2018 [75. ] | Iran | To explore therapeutic communication between patients and nursing students in the Iranian context through the perception of nursing students, nursing instructors, and patients | Nursing students, nursing instructor, and patients | Qualitative: In depth semi structured interview |
Hayajneh et al., 2014 [76. ] | Jordan | To describe the impact on professional caregiver burden of adopting person‐centred care approaches for people with Alzheimer's disease | Professional caregivers | A qualitative descriptive phenomenological approach using semi‐structured interviews |
Hijazi et al., 2018 [77. ] | Jordan | To examine the impact of applying quality management practices on patient centeredness within the context of health care accreditation and to explore the differences in the views of various health care workers regarding attributes affecting patient-centred care | Clinical/nonclinical hospital staff | A multiple-case study design |
Joolaee et al., 2010 [78. ] | Iran | To describe how Iranian patients and their companions explain their lived experiences with caring relationships in a central teaching hospital in Tehran, Iran | Patients and their companions | phenomenological approach was used and semi-structured interviews |
Khullar and Coughlan, 2018 [79. ] | Kuwait | To understand the types of narratives and treatment approaches that may contribute to inadequate service delivery | Individuals providing mental health services | Qualitative: using open-ended, semi-structured interviews |
Lipovetski & Cojocaru, 2020 [80. ] | Israel | To shed the light on the integration of caregiver- patient perspectives regarding decision-making processes, and the barriers and facilitators to their implementation in chronic-care practices in Israel | Patients with colorectal cancer and Oncologists | Mixed method Explanatory sequential design |
Mahboub et al.,2018 [81. ] | Dubai | To review current patient-centred practices for outpatients in both private clinics and public hospitals in Dubai | Patients had appointments in various outpatient departments (OPD) including medical, surgical, and general | Independent survey consisting of self-administered questionnaires |
Manchaiah et al., 2014 [82. ] | Portugal, India, and Iran | To examine and compare audiologists’ preferences for patient-centredness in Portugal, India, and Iran | Audiologists | Cross sectional |
Medina-Artom and Adashi, 2020 [83. ] | Israel | To compare provider and patient perceptions of the extent to which care in Israeli IVF units is patient centred | Providers and patients | Quantitative using questionnaire |
Mohamed et al., 2013 [84. ] | Qatar | To assess the effectiveness of a culturally sensitive, structured education programme (CSSEP) on biomedical knowledge, attitudes, and practice measures among Arabs with type two diabetes | Patients with type II diabetes | A randomized controlled trial |
Mole et al., 2016 [85. ] | UK, Egypt, and India | To characterise understandings of ‘good communication’ in future doctors from medical schools in three contextually contrasting continents and test the hypothesis that there would be a lack of global consensus on what constitutes ‘good communication’ | Students in the clinical years of training (Years 3–6) who had personal experience with doctor–patient interactions | Qualitative: A mixed method using first focus groups and then interviews |
Obeidat and Lally, 2018 [86. ] | Jordan | To determine Jordanian physicians' perceived barriers and facilitators to patient participation in treatment decision-making | Physician | Quantitative: A cross sectional exploratory survey design |
Rahman et al., 2019 [87. ] | Pakistan | To examine the perspectives of 18 health care providers (nurses, consultant doctors, residents, radiologists, and physiotherapists) and 18 patients regarding best practices for patient‐centred care in a free private hospital in Pakistan, to understand congruence between provider and patient perspectives | Patients and providers | Qualitative: Focused group interview |
Rasha et al., 2009 [88. ] | Saudi Arabia and US | To use the Communication, Curriculum, and Culture Survey (C3) to perform a pilot cross-cultural comparison of the patient-centredness of the hidden curriculum between a Saudi medical school and 9 U.S. medical schools | Senior Saudi medical students in their (6th) last year | Quantitative |
Rassouli et al., 2020 [89. ] | Iran | To examine nurses' perceptions of the components of patient-centred care and its delivery | Nurses | Qualitative descriptive research using face to face semi structured and filed note interview |
Rehman eta l., 2017 [90. ] | Pakistan | To determine health care professionals’ views on patient centricity, quality improvement and advancement required for life satisfaction in the health care sector | HCPs working in tertiary care hospital and after non solo clinic | Descriptive cross sectional |
Sadati et al., 2016 [91. ] | Iran | To explore the nature of doctor-patient interaction (DPI) in one educational hospital in Iran, according to the views of patients and their relative | Patients and their relatives | Qualitative: using the Carspecken’s critical ethnography |
Schattner et al., 2006 [92. ] | Israel | To determine patient priorities in medical care | Hospitalized and ambulatory patients | Quantitative |
Sultan et al., 2018 [93. ] | Palestine | To investigates the provision of PCC among hospital doctors in the developing and politically unstable country of Palestine | Doctors | Descriptive, cross-sectional research |
Topaz et al., 2020 [94. ] | Israel and US | To understand the extent to which current health information technology (HIT) systems are supportive of PCC and how PCC should be supported by HIT in the future | Academic and clinical experts (Physician, Nurse, Human factors analysis/human computer interaction experts. Other (socio-technical domain & social work) | A qualitative descriptive method interview |
Yasein et al., 2017 [95. ] | Jordan | To evaluate patient-centredness and communication skills from the patients’ point of view and that of the physicians’ point of view and compares the two outcomes | Patients and residents | Quantitative: A cross sectional study |
Zisman-Ilani et al., 2020 [96. ] | Israel, Jordan, and US | To understand the beliefs, perceptions, and practices related to shared decision making (SDM) and patient-centred care (PCC) of physicians in Israel, Jordan, and the United States | Physicians | Quantitative: using a web-based survey |
Zolfaghari et al., 2015 [97. ] | Iran | To study the effect of two educational methods (family-centred and patient-centred) on some complications that occur during haemodialysis | Patients | Clinical trial of quasi-experimental type |