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[How to assess Person-Centered Care according to professionals? A Delphi study]
José Antonio Pascual López1, Trinidad Gil Pérez2, Juan Antonio Sánchez Sánchez3
1Centro de Salud docente de Calasparra, Servicio Murciano de Salud (SMS), Murcia, España.
Medical experts identified key elements for person-centered care (PCA). Essential aspects include respect, comprehensive care, and patient autonomy, guiding better healthcare practices.
Area of Science:
- Healthcare Professionals
- Medical Ethics
- Patient Care
Background:
- Person-Centered Care (PCA) is crucial for quality healthcare.
- Understanding professional perspectives on PCA is essential for its effective implementation.
- Existing frameworks may not fully capture all critical dimensions of PCA.
Purpose of the Study:
- To determine the essential aspects and dimensions of Person-Centered Care (PCA) from the perspective of healthcare professionals.
- To identify and prioritize core components for effective PCA implementation in primary care settings.
Main Methods:
- A three-round Delphi technique was employed with 74 medical experts in family medicine, psychology, and sociology.
- Participants completed questionnaires to identify, agree upon, and prioritize aspects of PCA.
- Data analysis involved response rates and Likert scale scoring to rank essential PCA elements.
Main Results:
- The study identified 21 prioritized items for PCA, with high agreement among experts.
- Key aspects consistently valued include respect, comprehensive care, biopsychosocial approach, patient autonomy, and shared decision-making.
- New dimensions such as prevention, health promotion, resource management, and clinical competence were also highlighted.
Conclusions:
- Respect, comprehensive care, biopsychosocial approach, patient autonomy, and shared decision-making are paramount in PCA.
- The findings provide a refined understanding of PCA, incorporating new dimensions relevant to contemporary healthcare.
- These insights can inform the development of training and practice guidelines for person-centered care.
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