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Table 2 Domains and clusters identified by multiple stakeholders to achieve people-centred health care (PCC) services

From: Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective

 

Health professionalsa

Lay-personsa

1. GOVERNANCE & POLICY (130)

 1. Decent sustainable health policies (9)

1,2,3,4

 

 2. Health policies adapted to the local circumstances (10)

1,2,3

 

 3. Intersectoral health policies (24)

1,2,3,4

 

 4. A common understanding of health across all stakeholders (8)

1,2,3

 

 5. All stakeholders participate in health policies (10)

1,3,4

5

 6. Sufficient earmarked public health funding (4)

1,2,4

 

 7. Avoid commercialization of health care (11)

2,3,4

5,6,7

 8. Affordable health care for all (31)

1,2,3,4

5,6,7

 9. A solidarity based broad-gauged health insurance (10)

3,4

6,7

 10. Health services for vulnerable groups (13)

2,4

5,6,7

2. HEALTH WORKFORCE (82)

 11. Accountable medical education (6)

2,3

 

 12. Excellent communication skills and appreciation of health literacy challenges (24)

1,2,3,4

5,6,7

 13. Committed and person friendly health providers (15)

1,2,3

6

 14. Respectful attitude based on cultural self-awareness (15)

1,2,3

7

 15. Comprehension on peoples’ life circumstances and their use of health services (14)

1,2,3,4

 

 16. High quality health services: scientific based, respecting patients goals (8)

2,3

7

3. INTEGRATED HEALTH SERVICES (112)

  

 17. Access to the appropriate level of care (13)

1,4

5,6,7

 18. Availability of translators in the health service (4)

3,4

7

 19. Effective primary health care as the central hub for care (10)

1,3,4

5,7

 20. Care continuity over time (6)

3,4

7

 21. Interdisciplinary and multidisciplinary collaboration (10)

1,2,3,4

7

 22. Integrated health care across prevention, health promotion, cure and care (23)

1,2,3,4

5,6,7

 23. Community based health education, health promotion and disease prevention (18)

1,2,3,4

5,6,7

 24. Health facilities/ services close to the people (8)

1,2,3,4

 

 25. Sufficient supplies and good equipment (6)

3

 

 26. Data sharing and digitalization (14)

3,4

5,6,7

4. PATIENT, PERSON AND COMMUNITY EMPOWERMENT AND PARTICIPATION (128)

 27. People know, exercise and respect human and patient rights (5)

1,3

 

 28. People are enabled to navigate the health system (14)

1,2,3,4

5,6

 29. Informal care givers and community representatives participate in health care (20)

1,2,3,4

6,7

 30. People are aware of the importance of their active participation in health care (13)

1,2,3,4

5,6,7

 31. Regular structured interaction between health professionals and the community (10)

1,2,3

 

 32. Patient’s autonomy is respected and promoted (11)

1,2

5,6,7

 33. Adequate and safe nutrition, physical activity and the prevention of diseases are promoted (22)

1,3,4

5,6,7

 34. Reliable information is available and unhelpful commercial messages are controlled (16)

1,2,3

5,6,7

 35. Health education is attractive and adapted to the characteristics of the target population (17)

1,2,4

5,6,7

  1. Participants identified four domains containing 35 clusters that group 452 policy options or interventions to achieve PCC
  2. The numbers between brackets refer to the number of statements in each cluster
  3. aNumber assigned to the concept mapping workshops, as described in Table 1