title: Patient-centered care and outcomes: a systematic review of the literature.
abstract: Patient-centered care (PCC) has been studied for several decades. Yet a clear definition of PCC is lacking, as is an understanding of how specific PCC processes relate to patient outcomes. We conducted a systematic review of the PCC literature to examine the evidence for PCC and outcomes. Three databases were searched for all years through September 2012. We retained 40 articles for the analysis. Results found mixed relationships between PCC and clinical outcomes, that is, some studies found significant relationships between specific elements of PCC and outcomes but others found no relationship. There was stronger evidence for positive influences of PCC on satisfaction and self-management. Future research should examine specific dimensions of PCC and how they relate to technical care quality, particularly some dimensions that have not been studied extensively. Future research also should identify moderating and mediating variables in the PPC-outcomes relationship.
authors.affiliation: Department of Health Management and Informatics, University of Missouri School of Medicine, Five Hospital Drive, Columbia, MO 65212, USA. rathertc@health.missouri.edu
authors.forename: Cheryl
authors.initials: C
authors.lastname: Rathert
authors.forename: Mary D
authors.initials: MD
authors.lastname: Wyrwich
authors.forename: Suzanne Austin
authors.initials: SA
authors.lastname: Boren
mesh_terms: D006801:Humans; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D018802:Patient-Centered Care