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

Maria J Santana1, Kimberly Manalili1, Rachel J Jolley1

  • 1Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
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PubMed
Summary

This study introduces a practical framework for implementing person-centred care (PCC) in healthcare systems. It offers a roadmap to improve health system performance by focusing on structure, process, and outcomes for better patient experiences.

Keywords:
conceptual frameworkhealthcare qualityimplementationperson-centred care

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Patient-Centered Care

Background:

  • Healthcare systems globally aim to enhance performance via person-centred care (PCC).
  • Existing conceptual PCC frameworks lack practical implementation guidance.
  • A gap exists in translating PCC theory into actionable strategies for healthcare organizations.

Purpose of the Study:

  • To develop a practical, conceptual framework for implementing person-centred care (PCC).
  • To provide a step-wise roadmap for healthcare systems to adopt PCC.
  • To synthesize evidence and best practices for PCC implementation.

Main Methods:

  • A narrative review of existing person-centred care (PCC) literature was conducted.
  • A generic conceptual framework was co-developed with a patient partner.
  • The Donabedian model was used to categorize PCC domains into Structure, Process, and Outcome.

Main Results:

  • The framework highlights the crucial role of the 'Structure' domain in establishing PCC.
  • Key structural elements include fostering a PCC culture, co-designing programs with patients, and supporting health information technology.
  • Process domains emphasize communication and patient engagement, while outcome domains focus on access and patient-reported outcomes.

Conclusions:

  • The developed conceptual framework offers a practical roadmap for PCC implementation.
  • It guides healthcare systems and organizations across sectors in delivering person-centred care.
  • This framework addresses the need for actionable strategies to improve health system performance through PCC.