Putting the Patient First: A Scoping Review of Patient Desires in Canada

Allie Peckham¹, James G Wright², Husayn Marani³, Reham Abdelhalim³, Dara Laxer⁴, Sara Allin⁵, Nadia Alam⁶, Greg Marchildon⁷

Affiliations

¹ Assistant Professor, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ; North American Observatory on Health Systems and Policies, University of Toronto, Toronto, ON.
² Chief, Economics, Policy and Research, Ontario Medical Association, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public HealthUniversity of Toronto, Toronto, ON.
³ Research Assistant, North American Observatory on Health Systems and Policies, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public HealthUniversity of Toronto, Toronto, ON.
⁴ Executive Director, Health Policy and Promotion, Ontario Medical Association, Toronto, ON.
⁵ Director of Operations, North American Observatory on Health Systems and Policies; Assistant Professor, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON.
⁶ Past President, Ontario Medical Association, Toronto, ON.
⁷ Director, North American Observatory on Health Systems and Policies; Professor, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON.

PMID: 34129478
PMCID: PMC8200834
DOI: 10.12927/hcpol.2021.26499

Putting the Patient First: A Scoping Review of Patient Desires in Canada

Allie Peckham et al. Healthc Policy. 2021 May.

. 2021 May;16(4):46-69.

doi: 10.12927/hcpol.2021.26499.

Authors

Allie Peckham¹, James G Wright², Husayn Marani³, Reham Abdelhalim³, Dara Laxer⁴, Sara Allin⁵, Nadia Alam⁶, Greg Marchildon⁷

Affiliations

¹ Assistant Professor, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ; North American Observatory on Health Systems and Policies, University of Toronto, Toronto, ON.
² Chief, Economics, Policy and Research, Ontario Medical Association, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public HealthUniversity of Toronto, Toronto, ON.
³ Research Assistant, North American Observatory on Health Systems and Policies, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public HealthUniversity of Toronto, Toronto, ON.
⁴ Executive Director, Health Policy and Promotion, Ontario Medical Association, Toronto, ON.
⁵ Director of Operations, North American Observatory on Health Systems and Policies; Assistant Professor, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON.
⁶ Past President, Ontario Medical Association, Toronto, ON.
⁷ Director, North American Observatory on Health Systems and Policies; Professor, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON.

PMID: 34129478
PMCID: PMC8200834
DOI: 10.12927/hcpol.2021.26499

Abstract
in English, French

Patient-centred care is a key priority for governments, providers and stakeholders, yet little is known about the care preferences of patient groups. We completed a scoping review that yielded 193 articles for analysis. Five health states were used to account for the diversity of possible preferences based on health needs. Five broad themes were identified and expressed differently across the health states, including personalized care, navigation, choice, holistic care and care continuity. Patients' perspectives must be considered to meet the diverse needs of targeted patient groups, which can inform health system planning, quality improvement initiatives and targeting of investments.

Les soins axés sur le patient sont une priorité clé pour les gouvernements, les fournisseurs et les intervenants, mais on en sait peu sur les préférences de soins des groupes de patients. Nous avons effectué un examen de la portée dans lequel 193 articles ont été analysés. Cinq états de santé ont été utilisés pour rendre compte de la diversité des préférences possibles en fonction des besoins en santé. Cinq grands thèmes ont été identifiés et exprimés différemment selon l'état de santé: les soins personnalisés, la navigation, le choix, les soins holistiques et la continuité des soins. Le point de vue du patient doit être pris en compte afin de répondre aux divers besoins des groupes ciblés, ce qui peut éclairer la planification du système de santé de même que les initiatives visant l'amélioration des soins ainsi que le ciblage des investissements.

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References

1. Ontario Medical Association. 2010. Patient-Centred Care. Ontario Medical Review 34–49.
1. Ontario Ministry of Health and Long-Term Care. 2015, May 13. Patients First: A Roadmap to Strengthen Home and Community Care [archived]. Retrieved June 2015. <https://news.ontario.ca/en/backgrounder/32761/patients-first-a-roadmap-t...>.
1. World Health Organization (WHO). 2008. The World Health Report 2008: Primary Health Care – Now More than Ever. Retrieved May 2019. <https://www.who.int/whr/2008/whr08_en.pdf>.
1. Fooks C., Obarski G., Hale L., Hylmar S.. 2015. The Patient Experience in Ontario 2020: What Is Possible? Healthcare Papers 14(4): 8–18. 10.12927/hcpap.2015.24339. - PubMed
1. Institute of Medicine (IOM). 2001. Crossing the Quality Chasm: A New Health System for the 21st Century. National Academies Press (US). 10.17226/10027. - PubMed

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Putting the Patient First: A Scoping Review of Patient Desires in Canada

Affiliations

Putting the Patient First: A Scoping Review of Patient Desires in Canada

Authors

Affiliations

Abstract
in English, French

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Abstract in English, French

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Abstract
in English, French