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Effects of person-centred care on health outcomes—A randomized controlled trial in patients with acute coronary syndrome

Journal article
Authors Laura Pirhonen
Elisabeth Hansson-Olofsson
Andreas Fors
Inger Ekman
Kristian Bolin
Published in Health Policy
Volume 121
Issue 2
Pages 169-179
ISSN 0168-8510
Publication year 2017
Published at University of Gothenburg Centre for person-centred care (GPCC)
Centre for Health Economics
Institute of Health and Care Sciences
Pages 169-179
Language en
Links https://doi.org/10.1016/j.healthpol...
Keywords Acute coronary syndrome, Health-related outcomes, Patient-centred, Person-centred care, Randomized controlled trial
Subject categories Health Sciences, Health Care Service and Management, Health Policy and Services and Health Economy

Abstract

© 2016 Elsevier Ireland LtdObjectives To study the effects of person-centred care provided to patients with acute coronary syndrome, using four different health-related outcome measures. Also, to examine the performance of these outcomes when measuring person-centred care. Data and method The data used in this study consists of primary data from a multicentre randomized parallel group, controlled intervention study for patients with acute coronary syndrome at Sahlgrenska University Hospital in Gothenburg, Sweden. The intervention and control group consisted of 94 and 105 patients, respectively. The effect of the intervention on health-related outcomes was estimated, controlling for socio-economic and disease-related variables. Results Patients in the intervention group reported significantly higher general self-efficacy than those in the control group six months after intervention start-up. Moreover, the intervention group returned to work in a greater extent than controls; their physical activity level had increased more and they had a higher EQ-5D score, meaning higher health-related quality of life. These latter effects are not significant but are all pointing towards the beneficial effects of person-centred care. All the effects were estimated while controlling for important socio-economic and disease-related variables. Conclusion The effectiveness of person-centred care varies between different outcomes considered. A statistically significant beneficial effect was found for one of the four outcome measures (self-efficacy). The other measures all captured beneficial, but not significant, effects.

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