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BRIEF RESEARCH REPORT article

Front. Public Health
Sec. Public Mental Health
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1420919
This article is part of the Research Topic The Intersection of Psychology, Healthy Behaviors, and its Outcomes View all 11 articles

Revisiting the hospital-issued gown in hospitalizations from a locus of control and Patient-centered care perspectives-A call for Design Thinking

Provisionally accepted
Gillie Gabay Gillie Gabay 1*Hana Ornoy Hana Ornoy 2
  • 1 Achva Academic College, Arugot, Israel
  • 2 Ono Academic College, Kiryat Ono, Tel Aviv District, Israel

The final, formatted version of the article will be published soon.

    Introduction: Patient-centered care (PCC) is the preferred health policy calling to respond to individual patient preferences, wishes, and needs. PCC requires patients to become engaged. While extensive research focused on physicians' robe, research on the hospital-issued patient gown in hospitalizations is scant. How does the gown affect the cognitive-emotional experience of hospitalized patients? How is the gown associated with PCC?The sample of this cross-sectional study comprised 965 patients who were hospitalized at least once during the past year in a tertiary hospital. Measures were previously published.The gown was strongly associated with lack of control, increased distress, was negatively associated with patient proactiveness, engagement, and with taking responsibility for self-management of chronic illness. Compared to males, females wearing the gown had stronger negative emotions, and cognitively strong associations with external locus of control, inhibiting engagement.The hospital gown is an unacknowledged barrier to achieving PCC, inhibits patient-engagement, and reflects paradoxes of inadvertently excluding patients' needs from hospital practice. The hospital gown must be modified to protect the patient's voice and enhance engagement. Policymakers are called to apply design-thinking for facilitating 2 patient participation in decision-making to accord hospital clothing to PCC and improve healthcare delivery.

    Keywords: design thinking, Hospitalization, patient-engagement, Patient hospital, Patient-Centetred Care

    Received: 21 May 2024; Accepted: 27 Aug 2024.

    Copyright: © 2024 Gabay and Ornoy. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Gillie Gabay, Achva Academic College, Arugot, Israel

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