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Person-Centredness and Paternalism: The Dance With Power
1School of Sport and Health Sciences, University of Brighton, Brighton, UK.
Musculoskeletal Care
|January 7, 2025
Summary
French physiotherapists conceptualize person-centredness (PC) through relationship building, adapting rehabilitation, and offering choices. However, challenges with paternalism and power dynamics hinder fully realizing PC in practice.
Area of Science:
- Healthcare Quality
- Physical Therapy
- Patient-Centered Care
Background:
- The World Health Organization emphasizes person-centredness (PC) for quality care.
- PC definitions vary, with limited research in non-English speaking contexts.
- The term PC is not prominent in French physiotherapy education or healthcare systems.
Purpose of the Study:
- To explore French physiotherapists' understanding and conceptualization of person-centredness (PC).
Main Methods:
- Phenomenographic study with an interpretivist paradigm.
- Seven French physiotherapists participated in semi-structured interviews.
- Verbatim transcripts were translated and analyzed using established steps.
Main Results:
- Physiotherapists conceptualized PC through: Creating a relationship, Adapting rehabilitation, and Giving the choice.
- Challenges identified include paternalism and power dynamics.
- These factors limited trust, effective adaptations, and shared decision-making.
Conclusions:
- French physiotherapists are committed to person-centred practices.
- Difficulties in relinquishing power present barriers to fully implementing PC.
- This highlights an ongoing process of becoming person-centred.
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