title: Patient-centeredness and its impact on patient satisfaction and treatment outcomes in medical rehabilitation.
abstract: To examine the impact of patient-centeredness for patient satisfaction and treatment outcomes.
  
  
  
  A multicenter cross-sectional survey study with patients (n=1033) in nine medical rehabilitation centers in Germany was conducted. Data was analyzed with multiple linear regression. Predictors were patient-centeredness (CCRQ-15) and patient́s age, employment and therapeutic indication; outcomes were patient satisfaction and treatment outcomes (changes in living conditions and health status).
  
  
  
  The regression model could explain 54% of variance in patient satisfaction. The strongest predictor was decision-making/communication (β=0.34). In treatment outcome, 19% of variance of changes in living conditions and 21% of variance of changes in state of health could be explained. The strongest predictor in both variables was self-management/empowerment (β=0.40 and 0.32, respectively).
  
  
  
  The results emphasize the relevance of patient-centered treatments for patient satisfaction and treatment results. The evidence is provided for the first time in medical rehabilitation.
  
  
  
  Further studies should consider multilevel modeling and diverse survey methods. Continued implementation and evaluation of patient-centeredness in the medical rehabilitation treatment are recommended measures. Promoting shared decision-making, effective clinician-patient communication, and increased patient empowerment are essential, e.g. by patient education programs or staff training in shared decision-making.
authors: Medical Psychology and Medical Sociology, Faculty of Medicine, Albert-Ludwig University of Freiburg, Freiburg, Germany.
authors: Anne
authors: A
authors: Plewnia
authors: Departmant of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, Albert-Ludwig University of Freiburg, Freiburg, Germany.
authors: Jürgen
authors: J
authors: Bengel
authors: Medical Psychology and Medical Sociology, Faculty of Medicine, Albert-Ludwig University of Freiburg, Freiburg, Germany. Electronic address: mirjam.koerner@mps.uni-freiburg.de.
authors: Mirjam
authors: M
authors: Körner
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000534:rehabilitation*; D003142:Communication; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D005858:Germany; D006801:Humans; 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; D012044:Regression Analysis; D012047:Rehabilitation Centers / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Medical rehabilitation; Patient satisfaction; Patient-centeredness; Regression modeling; Treatment outcome