Community Mental Health Journal

, Volume 55, Issue 3, pp 548–552 | Cite as

Attitudes Toward Patient-Centered Care in the Mental Care Services in Isfahan, Iran

  • Mohammadali Akkafi
  • Haniye Sadat SajadiEmail author
  • Zainab Sadat Sajadi
  • Edward Krupat
Original Paper


Understanding patient–physician relationships in mental care services is an indispensable element to improve the quality of mental care, yet little is known about it in Iran. This study measured the attitudes of the patients’ family and personal caregivers (FPCs) and psychiatrists toward patient-centered care. A sample of 88 FPCs of mental patients and 29 psychiatrists in four teaching hospitals of Isfahan city, Iran, providing mental care, were asked to complete the patient-practitioner orientation scale (PPOS). Results showed mean scores of PPOS, sharing and caring for the psychiatrists were 3.4, 3.8, and 3.1, compared to 3.9, 4.2, and 3.7 for the mental patients’ FPCs. There was a significant difference between the PPOS mean scores of the FPC and psychiatrist groups (p < 0.05) indicating that psychiatrists’ attitudes were less patient-centered. Developing medical training interventions, establishing communication skills workshops, and increasing patients’ awareness are some approaches to address the low level of patient-centered care.


Patients’ attitudes Patient-centered care Mental patients Psychiatrists Hospital 



This study was funded by Isfahan University of Medical Sciences (293009).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Farabi Teaching HospitalIsfahan University of Medical SciencesIsfahanIran
  2. 2.National Institute for Health ResearchTehran University of Medical SciencesTehranIran
  3. 3.Harvard Medical SchoolBostonUSA

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