Chen TT, Su WC, Liu MI. Patient-centered care in diabetes care-concepts, relationships and practice. World J Diabetes 2024; 15(7): 1417-1429 [DOI: 10.4239/wjd.v15.i7.1417]
Corresponding Author of This Article
Tsung-Tai Chen, PhD, Academic Editor, Professor, Department of Public Health, College of Medicine, Fu Jen Catholic University, No. 510 Zhongzheng Rd, New Taipei 24205, Taiwan. 084907@mail.fju.edu.tw
Research Domain of This Article
Health Care Sciences & Services
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Diabetes. Jul 15, 2024; 15(7): 1417-1429 Published online Jul 15, 2024. doi: 10.4239/wjd.v15.i7.1417
Patient-centered care in diabetes care-concepts, relationships and practice
Tsung-Tai Chen, Wei-Chih Su, Mei-I Liu
Tsung-Tai Chen, Department of Public Health, College of Medicine, Fu Jen Catholic University, New Taipei 24205, Taiwan
Wei-Chih Su, Department of Gastroenterology, Taipei Tzu-Chi Hospital, New Taipei 23142, Taiwan
Mei-I Liu, Department of Pediatric Endocrinology, Mackay Children's Hospital, Taipei 10449, Taiwan
Author contributions: Chen TT designed the review; Chen TT, Su WC wrote the review; Liu MI revised the review.
Supported byMinistry of Science and Technology, No. 105-2410-H-030-057 and No. 107-2410-H-030-072.
Conflict-of-interest statement: We have no financial relationships to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tsung-Tai Chen, PhD, Academic Editor, Professor, Department of Public Health, College of Medicine, Fu Jen Catholic University, No. 510 Zhongzheng Rd, New Taipei 24205, Taiwan. 084907@mail.fju.edu.tw
Received: January 31, 2024 Revised: April 11, 2024 Accepted: May 13, 2024 Published online: July 15, 2024 Processing time: 159 Days and 4 Hours
Abstract
We still do not have comprehensive knowledge of which framework of patient-centered care (PCC) is appropriate for diabetes care, which elements of PCC are evidence-based, and the mechanism by which PCC elements are associated with outcomes through mediators. In this review, we elaborate on these issues. We found that for diabetes care, PCC elements such as autonomy support (patient individuality), cooperation and collaboration (system-level approach), com-munication and education (behavior change techniques), emotional support (biopsychosocial approach), and family/other involvement and support are critically important. All of these factors are directly associated with different patient outcomes and indirectly associated with outcomes through patient activation. We present the practical implications of these PCC elements.
Core Tip: We still do not have comprehensive knowledge of which framework of patient-centered care (PCC) is appropriate for diabetes care. In this review, we found that PCC elements such as autonomy support, cooperation and collaboration, communication and education, emotional support, and family/other involvement and support are critically important. All of these factors are indirectly associated with outcomes through patient activation.
