Browsing by Author "Härter, Martin"

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    Conceptualization of patient‐centered care in Latin America: A scoping review
    (2023) Klimesch, Anne; Martínez Pereira, Marcela María Alejandra; Topf, Cheyenne; Härter, Martin; Scholl, Isabelle; Bravo Valenzuela, Paulina Fabiola
    Introduction: Patient-centered care (PCC) has been declared as a desirable goal for health care in Latin American countries, but a coherent definition of what exactly PCC entails for clinical practice is missing. This article's aim was to identify how PCC is conceptualized in Latin American countries. Methods: Scientific databases (MEDLINE, EMBASE, PsycINFO, CINAHL, Scielo, Scopus, Web of Science) and webpages of the ministries of health were searched, and experts were contacted for suggestions of literature. References were included if they contained one of a range of a priori defined keywords related to PCC in the title, were published between 2006 and 2021, and were carried out in or concerned Latin America. Definitions of PCC were extracted from the included articles and analyzed using deductive and inductive coding. Deductive coding was based on the integrative model of patient-centeredness, which unites the definitions of PCC in the international literature (mainly North America and Europe) and proposes 16 dimensions describing PCC. Results: Thirty-two articles were included in the analysis and about half of them were from Brazil. Numerous similarities were found between the integrative model of patient-centeredness and the definitions of PCC given in the selected literature. The dimensions of the integrative model of patient-centeredness that were least and most prominent in the literature were physical support and patient information, respectively. A differentiation between PCC and family-centered care (FCC) was observed. Definitions of PCC and FCC as well as their cited references were diverse. Conclusion: A considerable overlap between the conceptualization of PCC in Latin America and the integrative model of patient-centeredness has been identified. However, there are substantial differences between countries in Latin America regarding the emphasis of research on PCC versus FCC and diverse conceptualizations of PCC and FCC exist. Patient Contribution: This scoping review takes the patient's perspective based on the integrative model of patient-centeredness. Due to the study being a review, no patients, neither caregivers, nor members of the public, were involved.
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    Factors influencing the implementation of shared decision-making in breast cancer care: protocol for a mixed-methods study
    (2023) Bravo Valenzuela, Paulina Fabiola; Dois C., Angelina M.; Villarroel Del Pino, Luis Antonio; González Aguero, Marcela Margot; Fernandez González, Loreto; Sánchez Rojel, César Giovanni; Martínez, Alejandra; Turen Croquevielle, Valentina; Quezada, Constanza; Guasalaga María, Elisabeth; Härter, Martin
    Chile is committed to actively involving patients in their healthcare. However, little is known about how this is translated into clinical encounters. Breast cancer (BC) is the first cause of cancer-related death in Chilean women. National policy guarantees standard care, and treatment decisions should be made along this process that can have long-term consequences for women. So, BC is a particularly well-suited case study to understand the complexity of patient participation in decision-making.
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    Transferring Knowledge on Patient-Centered Care through the Establishment of an International Network
    (2025) Lages, Nadine; Scholl, Isabelle; Quezada, Constanza; Hahlweg, Pola; Zeh, Stefan; Dois Castellón, Angelina Maria; Bravo, Paulina; Härter, Martin
    Background: Patient-centered care (PCC) is a key principle of high-quality health care. Recently, PCC has become increasingly relevant in many countries. In 2006, Chile declared PCC as a fundamental pillar of its health care system. However, PCC im-plementation in the Chilean healthcare system still lags. Some factors contributing to this are 1) the complexity of the concept, 2) the interdependence between healthcare activities and policy regulations, and 3) the need for a cultural change in health politics and care. This paper shares experiences of how we have tried to address some of these challenges by establishing an international network for PCC. Methods: As part of a collaborative project between researchers and clinicians based in Chile and Germany, we have established the International Network for Patient-Centered Care (PCC NET). The network offered knowledge exchange and trainings through different means. Results: Knowledge exchange was addressed by developing and launching a website that serves as a platform to share knowledge. Furthermore, a series of online semi-nars on PCC was organized, each conducted by an international expert in the field. In January 2023, several face-to-face workshops were developed and held in Chile. In total, 51 participants have attended the workshops. They were either health profes-sionals responsible for implementing PCC in the country, working for the Ministry of Health or in primary care in Chile. We evaluated the workshops by assessing the par-ticipants' reactions via surveys, and the participants rated the workshops positively. In January 2024, the first Latin American Conference on Patient-Centered Care occurred in Santiago de Chile. Four keynotes, two roundtables, five workshops, 31 oral and 19 poster presentations from both research and clinical practice took place during the two conference days with 196 participants on location. Conclusion: Establishing the PCC NET has facilitated international collaboration, knowledge exchange, and capacity-building for PCC implementation in Chile. Through different communication strategies, such as workshops, seminars and a conference, it was possible to enhance awareness and practical knowledge among healthcare pro-fessionals and policymakers. These initiatives represent significant steps toward ad-vancing PCC in Chile, although continued efforts are needed to address remaining challenges and sustain momentum in policy and practice.