Patient centredness and quality improvement efforts in hospitals: rationale, measurement, implementation

Int J Qual Health Care. 2011 Oct;23(5):531-7. doi: 10.1093/intqhc/mzr058. Epub 2011 Aug 22.


Quality problem: Patient-centred care is increasingly being acknowledged as an integral part of evaluating health care. Yet, from a quality improvement perspective the rationale, measurement and implementation of strategies to improve patient-centred care is often subject to debate.

Objective: The aim of this paper is to review why quality improvement efforts should embrace patient-centredness, to examine some of the measurement issues and to assess conceptual underpinnings that should inform both measurement and actions to improve patient-centred care.

Lessons: The causal pathway through which quality improvement affects and/or is associated with patient centredness is complex and goes beyond patients' rights and assessing patient views. Interventions to improve patient-centred care should reflect on key rationale, measurement strategy and underlying theory.

Publication types

  • Review

MeSH terms

  • Hospitals / standards*
  • Humans
  • Patient Participation*
  • Patient Preference
  • Patient Rights / standards
  • Patient-Centered Care / standards*
  • Quality Assurance, Health Care / methods
  • Quality Assurance, Health Care / standards*
  • Quality Improvement / standards