title: Patient-centered care and distal radius fracture outcomes: a prospective cohort study analysis.
abstract: METHODS
  Prospective cohort.
  
  
  BACKGROUND
  Effects of patient-centered care on distal radius fracture recovery lacks evidence.
  
  
  OBJECTIVE
  To understand from the perspective of a patient with a distal radius fracture: if the Patient Perception of Patient-Centeredness Questionnaire (PPPC) subscales apply to distal radius fracture populations; the strongest and weakest areas of patient-centered care; changes in patient perceptions of patient-centeredness during recovery; and, correlations between aspects of patient-centered care and patient reported pain and disability.
  
  
  METHODS
  Patients with distal radius fractures (n = 129; mean age = 54.03, SD = 14.63) completed the Patient Rated Wrist Evaluation (PRWE) and PPPC, at baseline (less than 10 days post-fracture) and at three months post-injury. Outcome measure responses were factor analyzed and tested for correlations.
  
  
  RESULTS
  Factors identified were titled Clinician-Patient Dialogue, representing communication components of patient-centered care, and Clinician-Patient Alliance, representing partnership components of patient-centered care. Small significant correlations (r = 0.22) between PRWE and PPPC responses were observed with Clinician-Patient Alliance more correlated at baseline and Clinician-Patient Dialogue at follow-up.
  
  
  CONCLUSIONS
  Important aspects of the patient-clinician dynamic were identified.
  
  
  CONCLUSIONS
  Communication between clinician and patient was perceived most favorably at baseline; and partnership improved by three months.
  
  
  METHODS
  1b.
authors.affiliation: School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, ON, Canada L8S 1C7. Electronic address: constamk@mcmaster.ca.
authors.forename: Marissa K
authors.initials: MK
authors.lastname: Constand
authors.affiliation: School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, ON, Canada L8S 1C7.
authors.forename: Joy C
authors.initials: JC
authors.lastname: MacDermid
authors.affiliation: School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, ON, Canada L8S 1C7.
authors.forename: Mary
authors.initials: M
authors.lastname: Law
authors.affiliation: School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, ON, Canada L8S 1C7.
authors.forename: Vanina
authors.initials: V
authors.lastname: Dal Bello-Haas
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003142:Communication; D017050:Episode of Care; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010146:Pain / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D010817:Physician-Patient Relations; D011885:Radius Fractures / Q000150:complications / Q000523:psychology / Q000628:therapy*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: Distal radius fracture; Patient-centered care