2023-2024, Block 1 GW4002MV. Patient Centered Care Delivery
THEME 1
Introduction to person-centered care
In the first theme of the course, an introduction to PCCD will be given. We will focus on definitions,
theories, conceptual models and dimensions of PCCD. Innovative solutions for PCCD as well as empirical
evidence on the relationship between PCCD and improved patient outcomes are presented.
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Targets for theme 1:
Students can analyze important theories and conceptual models concerning PCCD;
Students understand various models of PCC and know when to use them;
Students can explain the (lack of) effectiveness of PCC initiatives;
Students can apply important dimensions of PCC;
Inhoud
Knowledge clips................................................................................................................................................2
1. PCC for all; the importance of the 8 dimensions of PCC - (Inaugural lecture by Jane Cramm)..............2
2. Conceptual models of PCC – Additional lecture about the literature of PCC........................................2
Lecture 1. Introduction to PCCD 5 sept.............................................................................................................5
The 8 dimensions..........................................................................................................................................6
Person-centered care for people living with obesity.....................................................................................9
Workgroup meeting (7 sept)...........................................................................................................................11
Homework assignment...............................................................................................................................11
Case study on IBD.......................................................................................................................................15
1
,2023-2024, Block 1 GW4002MV. Patient Centered Care Delivery
1. PCC for all; the importance of the 8 dimensions of PCC - (Inaugural lecture by
Jane Cramm)
2. Conceptual models of PCC – Additional lecture about the literature of PCC
(in the beginning Lotte refers to a lecture about the 8 PCCD dimensions which was replaced by the inaugural
lecture of Jane, because this provided a more rich and detailed overview of these dimensions)
Rathert:
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, 2023-2024, Block 1 GW4002MV. Patient Centered Care Delivery
In this model, they specifically focus on the linkages between PCC processes and outcomes. But there are
also variables that play an important moderating or mediating role on this relationship between PCC and
the outcomes.
A moderator can be defined as a 3rd variable that affects the direction or strength of the relationship
between an independent and dependent variable. So it explains the conditions under which the
independent variable (predictor variable) will influence outcomes. A moderator can change the direction or
the strength between 2 variables. Examples of moderators are: patient condition, patient expectations.
E.g. patients with severe back pain, would gain more from physical support; whereas patients with anxiety
and depressive symptoms, would gain more from emotional support.
A mediator explains the mechanism that underlies an observed relationship between an independent
variable and a dependent variable. So mediators explain how and why (through which way), the 8
dimensions result in the outcomes. Examples are: patient activation, patient adherence.
E.g. if a patient has several treatment options and his/her preferences are taken into account while choosing
the best option, this will probably lead to better adherence to the treatment, which will lead to better
patient clinical outcomes.
A moderator changes the direction or strength of a relationship.
A mediator explains why and how the relationship works.
Lacy & Backer:
They want to integrate evidence-based approaches with PCC-approaches. They conceptualized 4 models:
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