RNQualitativeRevista latino-americana de enfermagem2017

Toward Advanced Nursing Practice along with People-Centered Care Partnership Model for Sustainable Universal Health Coverage and Universal Access to Health.

Tomoko Kamei, Keiko Takahashi, Junko Omori and 6 others

PMID 28146179

WHAT IT FOUND

Nurses in Japan built a community people-centered care model around three partnership patterns: provider-led, supportive, and shared decision-making.

Project participants rated satisfaction 8.9 on a 10-point scale. The model describes collaboration. It does not show patient outcomes improved.

Key findings

01The model was built by integrating a literature review with an assessment of 14 WHO collaborating center projects.

02Community members and healthcare providers were described in three partnership patterns: Approaching, Supporting, and Collaborating.

03Participant satisfaction was 8.9 points on a 10-point visual analogue scale in fiscal year 2015.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The paper developed a model rather than testing whether it changed patient health, costs, or access. The evidence base was 42 reviewed citations and 14 projects from one World Health Organization Collaborating Center, so it may not apply elsewhere. Satisfaction was measured with a 10-point visual analogue scale in one fiscal year, without a comparison group or long-term follow-up. The authors note that the literature and projects came mostly from developed countries and that applicability to developing countries needs evaluation. No random assignment, blinding, or control group was used, so the partnership patterns cannot be treated as proven causes of better health.

Declared interests

The work was supported by JSPS KAKENHI Grant-in-Aid for Scientific Research (B), process number 15H05108. The paper does not state other conflicts of interest.

The easy way to misread this

Do not read the 8.9 satisfaction score or the model as proof that people-centered care improves health, reduces costs, or sustains universal coverage. The paper built a model from literature and project reports; it did not test those outcomes.

Read it on PubMed →