Patients' Experiences of Person-Centered Care in the Context of Allogenic Stem Cell Transplantation.
Anna O'Sullivan, Carina Lundh Hagelin, Katarina Holmberg and 5 others
PMID 39663900WHAT IT FOUND
Most allogeneic stem cell transplant patients rated person-centered care high, but only 38.3% completely agreed they could influence their care.
Family participation and clear care responsibility also scored lower.
Key findings
01The mean person-centered care sum score was 62.67 (SD 9.863), with scores ranging from 20 to 72; 87% to 99% agreed or completely agreed for 22 of 24 items.
02The lowest complete agreement was for influencing care (38.3%), gaining new knowledge in the meeting with the nurse (52.8%), and clear care responsibility (53.7%); 13.7% disagreed or totally disagreed about family participation.
03Higher person-centered care scores were associated with increasing age (B = 0.214, p = .02) and being single (B = 6.265, p = 0.01), but not with sex, educational level, having children living at home, or transplant during the COVID-19 pandemic.
STILL TO COME
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What it does not show
Patients reported their care experience 12 to 36 months after transplantation, so recall may have changed the ratings. Self-report may be affected by social desirability, especially if patients felt grateful for care that may have cured a fatal illness. The study was cross-sectional, so it cannot show that person-centered care caused higher health-related quality of life. Non-responder characteristics were not available, so the results may not represent eligible patients who did not take part. The survey used one specialized allogeneic stem cell transplant center in Sweden, which may limit transferability to other settings. The person-centered care instrument was not originally designed for allogeneic stem cell transplant patients or inpatient care. The questions did not specify whether participants were rating care before, during, or after transplantation. The reported p value for the global health association was 0.06, while the paper's stated significance threshold was p ≤ .05.
Declared interests
The authors declared no potential conflicts of interest. The study was funded by The Sjöberg Foundation and the Blood Cancer Foundation.
The easy way to misread this
Do not read the high mean person-centered care score as evidence that person-centered care was effective. The study measured patients' reports after care, not a tested intervention. Also, 15.5% disagreed or totally disagreed about influencing care, and 13.7% disagreed or totally disagreed about family participation.