A Systematic Review of the Literature on the Development of New Concepts from the Perspective of Promoting Patient-Centered Care

Abstract Background: The concept of the patient as an organization is gaining traction in digital healthcare. This concept places the patient in the driver's position, empowering them to manage their health and wellness and make care decisions. It also encourages healthcare providers to collaborate with patients more closely, allowing for a more proactive, individualized approach to healthcare. In addition, this concept contributes to creating an environment in which patients and providers can utilize data-driven technologies such as AI and machine learning to enhance healthcare outcomes. Objective: Establishing the concept of patient as an organization in health-care. Design: Analysis of the concept through different patient attributes & existing concepts. Data Sources: The literature was searched using electronic databases including PubMed, ScienceDirect, Scopus, Google Scholar, with no date limitation. Any quantitative or qualitative studies published in English, which were focused on patient’s attributes & various concepts were included in the study. Review methods: Walker and Avant’s strategy for concept analysis was used. The patient attributes and the attributes regarded as concepts are studied. Results: A total of 40 articles were included. Different attributes and existing concepts like engagement, trust, advocacy, acuity, health literacy. cultural competence, self-efficacy, self-care, resilience and social support are explored. Attributes like age, gender, medical history, lifestyle factors, socioeconomic status, ethnicity, and culture were studied as antecedents. The consequences of Patient as an Organization were also identified, including those pertaining to care recipients, care providers. Conclusion: A theoretical definition and a conceptual model of new concept has been developed. The attributes as antecedents, and consequences of the said concept has been identified to script a new paradigm of patient-based healthcare model.