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

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, follo...

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Bibliographic Details
Published in:Social science & medicine (1982) 1998-11, Vol.47 (10), p.1573-1588
Main Authors: Wensing, Michel, Jung, Hans Peter, Mainz, Jan, Olesen, Frede, Grol, Richard
Format: Article
Language:English
Subjects:
Adult
Aged
Attitude to Health
Attitudes
Biological and medical sciences
Developed Countries
Female
General aspects
General practice
Health care
Health Priorities
Health systems. Social services
Humans
Literature reviews
Male
Medical research
Medical sciences
Medical sociology
Middle Aged
Patient Satisfaction
patient views
Patients
Physician-Patient Relations
Priorities
Public health. Hygiene
Public health. Hygiene-occupational medicine
quality of care
Quality standards
Social sciences
Systematic review
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Summary: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” and “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”.
ISSN:0277-9536
1873-5347
DOI:10.1016/S0277-9536(98)00222-6