Concordance in the healthcare context: A concept analysis

Background: The concept of concordance and its usage are indicative of patient-centered healthcare, which encourages an equitable collaboration between patients and clinicians. However, there is a lack of clarity in understanding concordance, and an analysis of this concept is warranted. Objective:...

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Main Authors: Anucha Taiwong (Author), Wassana Uppor (Author), Nisakorn Vibulchai (Author)
Format: Book
Published: Belitung Raya Foundation, 2024-06-01T00:00:00Z.
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001 doaj_d685a5db63764307ad132b54c4e085f8
042 |a dc 
100 1 0 |a Anucha Taiwong  |e author 
700 1 0 |a Wassana Uppor  |e author 
700 1 0 |a Nisakorn Vibulchai  |e author 
245 0 0 |a Concordance in the healthcare context: A concept analysis 
260 |b Belitung Raya Foundation,   |c 2024-06-01T00:00:00Z. 
500 |a 10.33546/bnj.3343 
500 |a 2477-4073 
520 |a Background: The concept of concordance and its usage are indicative of patient-centered healthcare, which encourages an equitable collaboration between patients and clinicians. However, there is a lack of clarity in understanding concordance, and an analysis of this concept is warranted. Objective: This paper seeks to explore the essence of the concordance concept in the healthcare context. Methods: Walker and Avant's eight-step method of concept analysis was applied. A literature search was conducted using concordance AND concord as keywords on CINAHL, MEDLINE, PubMed, ProQuest, Cochrane database, and ScienceDirect databases, published between 2006 and 2022. Results: The attributes of concordance include communication process, therapeutic partnership, and agreement on treatment regimens. Antecedents of concordance comprise provider-patient relationship, patients' beliefs, healthcare providers' characteristics, and complexity of treatment plans. Consequences are improved adherence and compliance, improved clinical outcomes, and better quality of life. Conclusion: This paper offers clarification of concordance by presenting its antecedents, attributes, and consequences. The findings serve as a basis for developing assessments and nursing interventions to promote patient concordance. Nurses can use the findings to encourage concordance by establishing a trusty relationship during health encounters that respects patients' beliefs and effectively communicating to improve patients' understanding in dealing with complex treatment plans. 
546 |a EN 
690 |a concordance 
690 |a concept analysis 
690 |a healthcare 
690 |a patient-centered care 
690 |a communication 
690 |a nurses 
690 |a Nursing 
690 |a RT1-120 
655 7 |a article  |2 local 
786 0 |n Belitung Nursing Journal, Vol 10, Iss 3 (2024) 
787 0 |n https://www.belitungraya.org/BRP/index.php/bnj/article/view/3343 
787 0 |n https://doaj.org/toc/2477-4073 
856 4 1 |u https://doaj.org/article/d685a5db63764307ad132b54c4e085f8  |z Connect to this object online.