What question did this study set out to answer?

To comprehensively map definitions, core components, stakeholder perspectives, implementation barriers, and care models of outpatient patient-centered care for older adults to inform adoption in low- and middle-income countries.

November 21, 2025BMC GeriatricsOpen Access

Exploring patient-centered care delivery in outpatient settings for older adults: a scoping review and recommendations for implementation in countries with low and middle income

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Authors

NHNahid Hatam MAMehrdad Askarian ETErfan Taherifard

Discussion

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Overview

Scoping review identifies key models and barriers of outpatient patient-centered care in older adults, suggesting a phased implementation framework for low- and middle-income countries.

Key Points

To comprehensively map definitions, core components, stakeholder perspectives, implementation barriers, and care models of outpatient patient-centered care for older adults to inform adoption in low- and middle-income countries.
Conducted a systematic search across PubMed, Web of Science, Scopus, and Google Scholar through August 2, 2024, adhering to the JBI scoping review methodology without publication year restrictions.
Identified 1,474 initial records and extracted data from 76 included studies using a descriptive synthesis contextualized for low- and middle-income health systems.
Common core patient-centered care themes centered on shared decision-making, holistic treatment, and multidisciplinary coordination; providers prioritized system efficiency and teamwork, while older adults prioritized care access, trust, and emotional support.
Key implementation barriers included infrastructural deficits, severe financial and staffing shortages, transportation difficulties, and clinical time constraints.
Multidisciplinary and community-linked models demonstrated the greatest utility for managing chronic conditions, informing a proposed seven-dimensional framework covering access, proactive care, empowerment, care pathway integration, whole-person care, coordination, and shared decision-making.

Cite This Study

Hatam et al. (2025) studied this question.

synapsesocial.com/papers/6a0f309da00258d2006ca750 https://doi.org/10.1186/s12877-025-06643-9

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November 21, 2025BMC GeriatricsOpen Access

Exploring patient-centered care delivery in outpatient settings for older adults: a scoping review and recommendations for implementation in countries with low and middle income

View Full Paper

Ask AI

Bookmark

Authors

NHNahid Hatam MAMehrdad Askarian ETErfan Taherifard

Discussion

Member takes

Overview

Scoping review identifies key models and barriers of outpatient patient-centered care in older adults, suggesting a phased implementation framework for low- and middle-income countries.

Key Points

To comprehensively map definitions, core components, stakeholder perspectives, implementation barriers, and care models of outpatient patient-centered care for older adults to inform adoption in low- and middle-income countries.
Conducted a systematic search across PubMed, Web of Science, Scopus, and Google Scholar through August 2, 2024, adhering to the JBI scoping review methodology without publication year restrictions.
Identified 1,474 initial records and extracted data from 76 included studies using a descriptive synthesis contextualized for low- and middle-income health systems.
Common core patient-centered care themes centered on shared decision-making, holistic treatment, and multidisciplinary coordination; providers prioritized system efficiency and teamwork, while older adults prioritized care access, trust, and emotional support.
Key implementation barriers included infrastructural deficits, severe financial and staffing shortages, transportation difficulties, and clinical time constraints.
Multidisciplinary and community-linked models demonstrated the greatest utility for managing chronic conditions, informing a proposed seven-dimensional framework covering access, proactive care, empowerment, care pathway integration, whole-person care, coordination, and shared decision-making.

Cite This Study

Hatam et al. (2025) studied this question.

synapsesocial.com/papers/6a0f309da00258d2006ca750 https://doi.org/10.1186/s12877-025-06643-9

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