Systematic approach crucial for person-centred care
Date:
September 10, 2020
Source:
University of Gothenburg
Summary:
Systematic efforts and a clear structure are decisive factors in
the transition to person-centred health care. A new study reflects
what is now a decade of experience and research in the field.
FULL STORY ========================================================================== Systematic efforts and a clear structure are decisive factors in the
transition to person-centred health care. A University of Gothenburg
study, published in the scientific journal BMJ, reflects what is now a
decade of experience and research in the field.
========================================================================== Expectations are growing stronger for health care to be person-centered,
and therefore emanate from a partnership between staff, patients
and relatives. But at the same times, the process of introducing and maintaining this way of working is slow and laborious in many places.
We already know that person-centred care can shorten hospital stay and
reduce uncertainty in health care. Now, instead, we need to concentrate
on how to achieve it, the researchers behind the broad BMJ article argue.
The study offers advice and tools for further research on, and development
of, person-centred care. The corresponding author is Axel Wolf, Associate Professor of Health Care Sciences at the Institute of Health and Care
Sciences at the Sahlgrenska Academy, University of Gothenburg. Axel
Wolf is also affiliated to the University of Gothenburg Centre for Person-centred Care (GPCC).
"One of the key pieces of advice is that person-centred care must be
practiced systematically on an everyday basis. This entails creating the organisational and individual conditions for developing a partnership
between the patient, the patient's relatives if applicable, and the staff
at every meeting -- not just when it fits into the schedule," Wolf says.
"To achieve the best clinical effect, it is important for
person-centred care not to be just a matter between the patient and the individual professional representative. It has to permeate the whole organisation. There is also a big challenge involved in increasing
the understanding of how person-centred care differs from current care practice." It is fundamental for health care professionals to take the
time to listen to what patients have experienced and wants to achieve
in relation to their health. They must let the patient's goals, such as returning to work or being able to take a walk, guide the wording of a
jointly agreed health plan. The patient's priorities and resources must
be reflected in the health-plan, which must also be subject to continuous evaluation. The documentation must then accompany and be accessible to
the patient, and this includes any move from hospital to primary care
or municipal social care.
Since it set out ten years ago GPCC, a national research centre, has led
the way in developing, testing, evaluating and implementing person-centred
care in many different health care contexts, in Sweden and abroad.
Together with his colleague Professor Nicky Britten of the University
of Exeter in England, Axel Wolf has lead an international research
group investigating the enablers and the obstacles experienced by
researchers, clinicians, and patients during clinical studies within
the GPCC framework, and in everyday implementation of research results.
Among the obstacles described in the current study are hierarchical
care structures, rigid occupational roles, and the conviction that one
is already working in a person-centred way.
"With the current shift in Swedish health care to "good quality local
health care," which is permeated by person-centred principles, the
ethical approach focusing on the person and not only the diagnosis must
be practiced constantly to optimize conditions. This requires systematic education and training, lifelong learning, and tools that facilitate
the partnership," Axel Wolf concludes.
========================================================================== Story Source: Materials provided by University_of_Gothenburg. Note:
Content may be edited for style and length.
========================================================================== Journal Reference:
1. Nicky Britten, Inger Ekman, O"ncel Naldemirci, Mikaela Javinger,
Haakan
Hedman, Axel Wolf. Learning from Gothenburg model of person centred
healthcare. BMJ, 2020; m2738 DOI: 10.1136/bmj.m2738 ==========================================================================
Link to news story:
https://www.sciencedaily.com/releases/2020/09/200910150342.htm
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