The conceptualisation of patient-centred care: A case study of diabetes management in public facilities in southern Malawi
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | The conceptualisation of patient-centred care: A case study of diabetes management in public facilities in southern Malawi | |
| Creator | Makwero, Martha Muula, Adamson Anyawu, Felix C. Igumbor, Jude | |
| Description | Background: Patient-centred care (PCC) is one of the pillars of Malawi’s quality of care policy initiatives. The role of PCC in facilitating quality service delivery is well documented, and its importance may heighten in chronic disease management. Yet, PCC conceptualisation is known to be context specific.Aim: The study aimed to understand the conceptualisation of PCC amongst patients, healthcare providers (HCP) and policy makers in Diabetes Mellitus (DM) management.Setting: This study was conducted in DM clinics in Southern Malawi.Methods: Our qualitative exploratory research study design used in-depth and focus group interviews. We interviewed patients with DM, HCPs and policy makers. The study used framework analysis guided by Mead and Bower’s work.Results: Patient-centred care conceptualisations from groups of participants showed convergence. However, they differed in emphasis in some elements. The prominent themes emerging from the participants’ conceptualisation of PCC included the following: meeting individual needs, goals and expectations, accessing medication, supporting relationship building, patient involvement, information sharing, holistic care, timeliness and being realistic.Conclusion: Patient-centred care conceptualisation in Malawi goes beyond the patient–HCP relational framework to include the technical aspects of care. Contrary to the global view, accessing medication and timeliness are major elements in PCC conceptualisation in Malawi. Whilst PCC conceptualisation is contextual, meeting expectations and needs of patients is fundamental. | |
| Publisher | AOSIS | |
| Date | 2021-09-20 | |
| Identifier | 10.4102/phcfm.v13i1.2755 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 13, No 1 (2021); 10 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/2755/4902
https://phcfm.org/index.php/phcfm/article/view/2755/4903
https://phcfm.org/index.php/phcfm/article/view/2755/4904
https://phcfm.org/index.php/phcfm/article/view/2755/4905
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