title: Effects of person-centred care on health outcomes-A randomized controlled trial in patients with acute coronary syndrome.
abstract: OBJECTIVE
  To study the effects of person-centred care provided to patients with acute coronary syndrome, using four different health-related outcome measures. Also, to examine the performance of these outcomes when measuring person-centred care.
  
  
  METHODS
  The data used in this study consists of primary data from a multicentre randomized parallel group, controlled intervention study for patients with acute coronary syndrome at Sahlgrenska University Hospital in Gothenburg, Sweden. The intervention and control group consisted of 94 and 105 patients, respectively. The effect of the intervention on health-related outcomes was estimated, controlling for socio-economic and disease-related variables.
  
  
  RESULTS
  Patients in the intervention group reported significantly higher general self-efficacy than those in the control group six months after intervention start-up. Moreover, the intervention group returned to work in a greater extent than controls; their physical activity level had increased more and they had a higher EQ-5D score, meaning higher health-related quality of life. These latter effects are not significant but are all pointing towards the beneficial effects of person-centred care. All the effects were estimated while controlling for important socio-economic and disease-related variables.
  
  
  CONCLUSIONS
  The effectiveness of person-centred care varies between different outcomes considered. A statistically significant beneficial effect was found for one of the four outcome measures (self-efficacy). The other measures all captured beneficial, but not significant, effects.
authors.affiliation: Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30 Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Sweden; Centre for Health Economics (CHEGU), Department of Economics, University of Gothenburg, Sweden. Electronic address: laura.pirhonen@economics.gu.se.
authors.forename: Laura
authors.initials: L
authors.lastname: Pirhonen
authors.affiliation: Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30 Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Sweden.
authors.forename: Elisabeth Hansson
authors.initials: EH
authors.lastname: Olofsson
authors.affiliation: Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30 Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Sweden; Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Sweden.
authors.forename: Andreas
authors.initials: A
authors.lastname: Fors
authors.affiliation: Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30 Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Sweden.
authors.forename: Inger
authors.initials: I
authors.lastname: Ekman
authors.affiliation: Centre for Health Economics (CHEGU), Department of Economics, University of Gothenburg, Sweden.
authors.forename: Kristian
authors.initials: K
authors.lastname: Bolin
mesh_terms: D054058:Acute Coronary Syndrome; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D063868:Patient Outcome Assessment; D018802:Patient-Centered Care / Q000379:methods*; D011788:Quality of Life; D062707:Return to Work; D020377:Self Efficacy; D013548:Sweden
keywords: Acute coronary syndrome; Health-related outcomes; Patient-centred; Person-centred care; Randomized controlled trial