title: Patient perspectives of patient-centeredness in medical rehabilitation.
abstract: OBJECTIVE
  Achieving patient-centeredness requires a paradigm shift in the provider-patient interaction. Participation, information, communication, and interaction are essential indicators in this area. The study examined the evaluation and implementation of indicators of patient-centeredness for chronically ill patients and center-specific differences in this regard.
  
  
  METHODS
  This cross-sectional study with mixed-method design combined focus groups and a questionnaire survey at 5 rehabilitation centers. The analysis included a qualitative component with summarizing content analysis and a descriptive-exploratory quantitative component.
  
  
  RESULTS
  Patients (N=32) rated the indicators of patient-centeredness favorably to very favorably (on a scale of 1=very good to 6=unsatisfactory). The centers exhibited significant differences in "patient participation" (p<.05). Dominant topics voiced in the focus groups were the desire for more individualized treatment (n=30) and more specific and rapid feedback on treatment goals (n=13).
  
  
  CONCLUSIONS
  Considerable between-center differences exist, particularly in patients' opportunity to participate in treatment planning, which can be a starting point for improvements.
  
  
  CONCLUSIONS
  Rehabilitation centers should ask patients to evaluate indicators of patient-centeredness and develop targeted actions for improvement. The patient survey shows that patients would like improvements in patient-centeredness in the overall rehabilitation system, particularly regarding patient participation, and training in this area is recommended.
authors.affiliation: Medical Psychology and Medical Sociology, Faculty of Medicine, Albert-Ludwigs University of Freiburg, Freiburg, Germany. Electronic address: linda.zimmermann@mps.uni-freiburg.de.
authors.forename: Linda
authors.initials: L
authors.lastname: Zimmermann
authors.affiliation: Medical Psychology and Medical Sociology, Faculty of Medicine, Albert-Ludwigs University of Freiburg, Freiburg, Germany.
authors.forename: Annika
authors.initials: A
authors.lastname: Konrad
authors.affiliation: Medical Psychology and Medical Sociology, Faculty of Medicine, Albert-Ludwigs University of Freiburg, Freiburg, Germany; University of Cooperative Education in Health Care and Welfare Saarland, Saarbrücken, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Müller
authors.affiliation: Celenus-Kliniken GmbH, Offenburg, Germany.
authors.forename: Manfred
authors.initials: M
authors.lastname: Rundel
authors.affiliation: Medical Psychology and Medical Sociology, Faculty of Medicine, Albert-Ludwigs University of Freiburg, Freiburg, Germany. Electronic address: mirjam.koerner@mps.uni-freiburg.de.
authors.forename: Mirjam
authors.initials: M
authors.lastname: Körner
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000534:rehabilitation*; D003142:Communication; D003430:Cross-Sectional Studies; D003657:Decision Making; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D063868:Patient Outcome Assessment; D010358:Patient Participation; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000379:methods*; D010817:Physician-Patient Relations; D036301:Qualitative Research; D012047:Rehabilitation Centers / Q000458:organization & administration*; D011795:Surveys and Questionnaires
keywords: Evaluation; Patient satisfaction; Patient-centered care; Rehabilitation; Shared decision-making