A Research of the Patient-Centered Care Based on Stakeholder''s Perspective-Using Community-based Palliative Care as example

• Main Authors: Shao-Yu Hsu, 徐紹瑜
• Other Authors: 鍾國彪
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/p89pnj

碩士 === 國立臺灣大學 === 公共衛生碩士學位學程 === 103 === Background and Purpose Whether domestically or internationally, scholars have advocated the concept of "patient-centered care". Institute of Medicine (IOM) also included patient-centered care in the 21st century health care goals. In the process of patient care, the end-of-life care emphasizes on a patient-centered care that aims to fulfill medical ethics and appropriateness. Since 2015, Taipei City hospital has provided hospice care in urban communities, where each branch began to develop a community-based palliative care model and forming a team of interdisciplinary health care professionals. Personal experiences on the care process of the terminally ill patients and a variety of other resources allows the medical team members to extend the concept of palliative care into the communities. Such process has not only received positive feedback from the patients'' family, but it also gave medical team members an opportunity for self-growth and earning recognition from the patients'' family. This study aimed to use data collection through literatures and interviews with community-based palliative care team members to understand their experience, attitude and implementation scenarios of the "patient-centered care" concept. Study Methods In this study, qualitative interviews were conducted using semi-structured in-depth interviews to construct an interview outline, which was used to interview members of an unnamed area hospital''s community-based palliative care team. Relevant literature reviews and documents were collected to complete the data analysis in this study. Results and Conclusions This study began from June 16, 2015 to July 16, 2015, where a total of fifteen participants had completed the full interview. These participants included four doctors, seven nurses and four social workers. The result showed that to implement the concept of patient-centered care, understanding the real needs of the patients themselves was crucial; Stakeholders thought that difficulties in the implementation of patient-centered care concept was due to the restrictions from hospital''s policy. The lack of professionals was the barrier that made stakeholders unable to achieve patient-centered care in community-based palliative care. Stakeholders also believed that the concept of patient-centered care could be strengthened by education and advocacy (including death education) to the public.