title: Measuring patient-centered care: An updated systematic review of how studies define and report concordance between patients' preferences and medical treatments.
abstract: OBJECTIVE
  The purpose was to examine recent advances in measuring value concordance and to highlight best practices.
  
  
  METHODS
  The paper updates a prior systematic review. A systematic review of the literature from 2008 to 2012 identified articles that reported a relationship between patients' preferences concerning health outcomes and/or medical treatments, and treatment (intended or actual). Relevant articles were independently abstracted by two reviewers.
  
  
  RESULTS
  The search identified 3635 unique citations, the full text of 187 articles was examined, and 63 articles covering 61 studies were included, nearly a third more articles than identified in the original review. There were 72 different value concordance calculations, the majority of which were clearly reported with significance. More studies assessed knowledge, reported on the association between value concordance and knowledge, and included a decision aid compared to those in the original review.
  
  
  CONCLUSIONS
  There is increased reporting of value concordance in the literature. However, large differences exist in the way that the measure is defined and calculated. The variability makes it difficult to draw conclusions about the quality of care across studies.
  
  
  CONCLUSIONS
  Value concordance is a critical component of patient-centered care, and further attention is needed to establish standards for measurement and reporting.
authors.affiliation: MGH Institute of Health Professions, Boston, USA. Electronic address: kwinn@mghihp.edu.
authors.forename: Karen
authors.initials: K
authors.lastname: Winn
authors.affiliation: The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, USA.
authors.forename: Elissa
authors.initials: E
authors.lastname: Ozanne
authors.affiliation: Harvard Medical School, Boston, USA; Health Decision Sciences Center, Division of General Internal Medicine, Massachusetts General Hospital, Boston, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Sepucha
mesh_terms: D003657:Decision Making; D003661:Decision Support Techniques; D003662:Decision Theory; D005260:Female; D006302:Health Services Research; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D010358:Patient Participation; D057240:Patient Preference; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000458:organization & administration*
keywords: Decision making; Decisions; Measurement; Patient-centered; Quality; Value concordance