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. 2019 Feb 14:12:137-148.
doi: 10.2147/JMDH.S186388. eCollection 2019.

Health care professionals' experiences and enactment of person-centered care at a multidisciplinary outpatient specialty clinic

Gudrun Evén  1 , Jonas Spaak  1 , Magnus von Arbin  1 , Åsa Franzén-Dahlin  1 , Terese Stenfors  2
Affiliations

Health care professionals' experiences and enactment of person-centered care at a multidisciplinary outpatient specialty clinic

Gudrun Evén et al. J Multidiscip Healthc. .

Abstract

Introduction: Person-centered care (PCC) appears particularly suitable for patients with complex diseases and in multidisciplinary care. However, previous research tends to focus on each profession and condition separately.

Purpose: We studied how health care professionals (HCPs) understand PCC, and whether their clinical practice is aligned with their theoretical understanding, when starting clinical practice at a novel multidisciplinary clinic.

Methods: In total, 16 semi-structured interviews with HCPs and 31 non-participatory observations of outpatient meetings and other activities at the clinic such as team meetings were conducted at a multidisciplinary, integrated outpatient clinic in Sweden. All patients had simultaneous diabetes mellitus, chronic kidney disease and established cardiovascular disease. The clinic employed a PCC approach. Data were analyzed using an inductive thematic approach.

Results: Two key findings emerged. First, PCC requires a holistic view of the patient at all times during care, with everything focused on the patient. This requires that the HCPs know the patient well enough as an individual to be able to tailor the care together with them. Second, working with a PCC philosophy leads to transformed roles for HCPs in patient meetings, with more active involvement by the patient and often also their next of kin. The observations, in comparison with the interviews, showed that not all HCPs applied their views on PCC in patient meetings. Observations showed that some patient meetings were less person-centered than others, potentially due to stress or lack of time.

Conclusion: PCC require HCPs to have a holistic view of the patients and a deeper understanding of their situation, as individuals. Working with PCC also leads to a more coaching, supportive role of the HCPs.

Keywords: cardiology; endocrinology; health care professionals; interviews; multidisciplinary; nephrology; observations; person-centered care; qualitative research; thematic analysis.

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Conflict of interest statement

Disclosure Dr Spaak and Dr Stenfors received funding from the regional county (ALF) and from the Kamprad Family Foundation. Dr Spaak received funding from Vårdalsstiftelsen and Karolinska Institutet. The authors report no other conflicts of interest in this work.

Figures

Figure 1
Figure 1
Themes developed from the analysis.
See this image and copyright information in PMC

References

    1. Jayadevappa R, Chhatre S. Patient centered care—a conceptual model and review of the state of the art. Open Health Serv Policy J. 2011;4(1):15–25.
    1. Ekman I, Swedberg K, Taft C, et al. Person-centered care—ready for prime time. Eur J Cardiovasc Nurs. 2011;10(4):248–251. - PubMed
    1. Stewart M, Ryan B, Bodea C. Is patient-centred care associated with lower diagnostic costs? Healthc Policy. 2011;6(4):27–31. - PMC - PubMed
    1. Gill PS. Patient engagement: an investigation at a primary care clinic. Int J Gen Med. 2013;6:85. - PMC - PubMed
    1. Executive summary. World Health Organization; Geneva, Switzerland: WHO; 2015. WHO Global Strategy on Integrated People-centred Health Services 2016–2026.

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