BACKGROUND Considerable research shows that women experience gendered disparities in healthcare access and quality. Patient-centred care (PCC) could reduce inequities by addressing the patient's clinical and personal needs. Healthcare policies can influence service delivery to optimise patient outcomes. This study assessed whether and how government policies recognise and promote PCC for women (PCCW). METHODS We analysed the content of English-language policies published in Canada from 2010 to 2018 on depression and cardiac rehabilitation - conditions featuring known gendered inequities - that were identified on government websites. We extracted data and used summary statistics to enumerate mentions of PCC and women's health. RESULTS We included 30 policies (20 depression, 10 cardiac rehabilitation). Of those, 20 (66.7%) included any content related to PCC (median 1.0, range 0.0 to 5.0), most often exchanging information (14, 46.7%) and making decisions (13, 43.3%). Less frequent domains were enabling self-management (8, 26.7%), addressing emotions (6, 20.0%) and fostering the relationship (4, 13.3%). No policies included content for the domain of managing uncertainty. A higher proportion of cardiac rehabilitation guidelines included PCC content. Among the 30 policies, 7 (23.3%) included content related to at least one women's health domain (median 0.0, range 0.0 to 3.0). Most frequently included were social determinants of health (4, 13.3%). Fewer policies mentioned any issues to consider for women (2, 28.6%), issues specific to subgroups of women (2, 28.6%) or distinguished care for women from men (2, 28.6%). No policies included mention of abuse or violence, or discrimination or stigma. The policies largely pertained to depression. Despite mention of PCC or women's health, policies offered brief, vague guidance on how to achieve PCCW; for example, "Patients value being involved in decision-making" and "Women want care that is collaborative, woman- and family-centered, and culturally sensitive." CONCLUSIONS Despite considerable evidence of need and international recommendations, most policies failed to recognise gendered disparities or promote PCC as a mitigating strategy. These identified gaps represent opportunities by which government policies could be developed or strengthened to support PCCW. Future research should investigate complementary strategies such as equipping policy-makers with the evidence and tools required to develop PCCW-informed policies.

中文翻译：

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对妇女而言，以患者为中心的护理是决策者的优先事项吗？政府政策内容分析。

背景技术大量研究表明，妇女在医疗保健机会和质量方面存在性别差异。以患者为中心的护理（PCC）可以通过解决患者的临床和个人需求来减少不平等现象。医疗保健政策可以影响服务的提供，以优化患者的治疗效果。这项研究评估了政府政策是否以及如何认可和促进妇女使用PCC（PCCW）。方法我们分析了2010年至2018年在加拿大发布的关于抑郁症和心脏康复的英语政策内容，这些政策在政府网站上已确定为已知的性别不平等现象。我们提取数据并使用摘要统计信息来列举PCC和妇女健康的内容。结果我们纳入了30项政策（20项抑郁症，10项心脏康复）。其中20（66。7％）包括与PCC相关的任何内容（中位数1.0，范围从0.0到5.0），最常交换信息（14，46.7％）和做出决策（13，43.3％）。频率较低的域可以实现自我管理（8，26.7％），解决情感问题（6，20.0％）并促进这种关系（4，13.3％）。没有政策包含管理不确定性领域的内容。更高比例的心脏康复指南包括PCC含量。在这30项政策中，有7项（占23.3％）包括与至少一个妇女的健康领域相关的内容（中位数0.0，范围从0.0到3.0）。最常见的是健康的社会决定因素（4，13.3％）。较少的政策提到要考虑的任何女性问题（2，28.6％），特定于女性群体的问题（2，28.6％）或对男性和女性的区别对待（2，28.6％）。没有政策包括提及虐待或暴力，歧视或污名化。这些政策主要涉及抑郁症。尽管提到了PCCW或妇女的健康，但政策为如何实现PCCW提供了简短而含糊的指导；例如，“患者重视参与决策”和“妇女希望获得合作，以妇女和家庭为中心并具有文化敏感性的护理”。结论尽管有大量的需求和国际建议的证据，但大多数政策仍未认识到性别差异或将PCC推广为缓解策略。这些已确定的差距代表着可以制定或加强政府政策以支持电讯盈科的机会。