Understanding Patient-Centered Care (PCC) and Shared Decision-Making (SDM) for Strengthening Doctor-Patient Relationships: A Model-Based Review with Implications for Central Police Hospital, Bangladesh

Abstract

Patient-centered care (PCC) and shared decision-making (SDM) are considered important models in current healthcare, which strengthen the doctor-patient relationship. This study assessed the relevance and challenges of these models in the context of Bangladesh Police Central Hospital. The objective of this study is to review the theoretical and model-based frameworks of patient-centered care and shared decision-making and assess their applicability in the practical context of Bangladesh Police Central Hospital. The study is based on qualitative analysis and presents data through analysis of global research, local context, and existing theoretical models. A context-based analysis was formed using the models of Stewart, Charles Epstein, and Street. The finding reveals that the implementation of patient-centered care (PCC) and shared decision-making (SDM) in an institutional setting like a police hospital is both necessary and challenging. In addition, the study found that power-centric organizational structures, lack of time, resource constraints, and patriarchal mindsets pose major barriers to patient voice and participation. However, contextually adapted PCC and SDM models can improve the doctor-patient relationship, facilitate long-term disease management, and contribute to positive changes in mental health care. This study provides a theoretical basis for humanizing treatment in specialized institutions such as police hospitals and recommends building a framework for implementing PCC and SDM in line with local realities. Since this study was based on secondary data rather than primary data, empirical observations were limited. There is a need to conduct primary data-based research on the implementation of PCC and SDM in police hospitals and similar institutions.