A systematic review of the literature on patient priorities for general practice care. Part 1: Description of the research domain

Author(s): Jung, H. P., Mainz, J., Olesen, F., Grol, R.

Journal/Book: Soc Sci Med. 1998; 47: The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, England. Pergamon-Elsevier Science Ltd. 1573-1588.

Abstract: To make health care more responsive to patient needs, insight into patient priorities is needed. A systematic literature review, using electronic and manual searches, was made of studies on patient priorities with regard to primary health care. Data-extraction was performed by two researchers, followed by systematic analyses of study features. 57 studies were included. The aspects of care and methods used showed a wide variation. Aspects most often included were ''informativeness'', ''humaneness'' acid ''competence/accuracy''. Based on an analysis of 19 studies, the following aspects were seen by patients as most important in more than 50% of the studies that included them: ''humaneness'', ''competence/accuracy'', ''patients' involvement in decisions'', ''time for care'', ''other aspects of availability/accessibility'', ''informativeness'', ''exploring patients' needs'', ''other aspects of relation and communication'' and ''availability of special services''.

Note: Review Wensing M, Univ Nijmegen, Ctr Qual Care Res, POB 9101, NL-6500 HB Nijmegen, NETHERLANDS

Keyword(s): general practice; quality of care; patient views; systematic review; MEDICAL DECISION-MAKING; PATIENTS EXPECTATIONS; PATIENTS PREFERENCES; PATIENTS WANT; QUALITY; PRACTITIONER; PHYSICIAN; SERVICES; SATISFACTION; INVOLVEMENT

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