How to practice person‐centred care: A conceptual framework.

Abstract: Background: Globally, health‐care systems and organizations are looking to improve health system performance through the implementation of a person‐centred care (PCC) model. While numerous conceptual frameworks for PCC exist, a gap remains in practical guidance on PCC implementation. Metho...

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Publicado en:Health Expectations Vol. 21; no. 2; pp. 429 - 441
Autores principales: Santana, Maria J., Manalili, Kimberly, Jolley, Rachel J., Zelinsky, Sandra, Quan, Hude, Lu, Mingshan
Formato: tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: How to practice person‐centred care: A conceptual framework.
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        au:
          Santana, Maria J.
          Manalili, Kimberly
          Jolley, Rachel J.
          Zelinsky, Sandra
          Quan, Hude
          Lu, Mingshan
        affil: Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
      sug:
        subj:
          Patient Centered Care
          Conceptual Framework
          Quality Improvement
          Health Care Delivery, Integrated
          Outcomes (Health Care)
          Organizational Culture
          Health Promotion
          Preventive Health Care
          Health Information
          Information Technology
          Communication
          Compassion
          Respect
          Patient Attitudes
          Health Services Accessibility
          Patient-Reported Outcomes
          Family Attitudes
          Caregivers
          Concept Formation
          Professional-Patient Relations
          Information Management
      ab: Abstract: Background: Globally, health‐care systems and organizations are looking to improve health system performance through the implementation of a person‐centred care (PCC) model. While numerous conceptual frameworks for PCC exist, a gap remains in practical guidance on PCC implementation. Methods: Based on a narrative review of the PCC literature, a generic conceptual framework was developed in collaboration with a patient partner, which synthesizes evidence, recommendations and best practice from existing frameworks and implementation case studies. The Donabedian model for health‐care improvement was used to classify PCC domains into the categories of “Structure,” “Process” and “Outcome” for health‐care quality improvement. Discussion: The framework emphasizes the structural domain, which relates to the health‐care system or context in which care is delivered, providing the foundation for PCC, and influencing the processes and outcomes of care. Structural domains identified include: the creation of a PCC culture across the continuum of care; co‐designing educational programs, as well as health promotion and prevention programs with patients; providing a supportive and accommodating environment; and developing and integrating structures to support health information technology and to measure and monitor PCC performance. Process domains describe the importance of cultivating communication and respectful and compassionate care; engaging patients in managing their care; and integration of care. Outcome domains identified include: access to care and Patient‐Reported Outcomes. Conclusion: This conceptual framework provides a step‐wise roadmap to guide health‐care systems and organizations in the provision PCC across various health‐care sectors.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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