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. 2025 Jun 17:5:1566997.
doi: 10.3389/frhs.2025.1566997. eCollection 2025.

Development and contextual analysis of a person-centered professional practice model in a home care service in French-speaking Switzerland

Cedric Mabire  1 , Sandra Panchaud  2 , Jessica Wey  3 , Justine Wicht  3
Affiliations

Development and contextual analysis of a person-centered professional practice model in a home care service in French-speaking Switzerland

Cedric Mabire et al. Front Health Serv. .

Abstract

Background: The Swiss healthcare system faces increasing challenges with an aging population and rising prevalence of chronic conditions, necessitating better-coordinated care delivery, particularly in home care settings.

Objectives: This study aimed to develop (objective 1) and conduct a contextual analysis for implementation (objective 2) of a person-centered professional practice model for home care services in French-speaking Switzerland.

Methods: A multi-method approach was used. For objective 1, concept mapping with 157 healthcare professionals (86% response rate) was conducted to develop the model. For objective 2, a contextual analysis was guided by the Intervention Mapping framework, involving focus groups with stakeholders (n = 14) and field validation with frontline staff (n = 6). Data analysis included both quantitative and qualitative methods.

Results: The concept mapping process identified 13 core values rated on importance (scale 1-5), with health promotion scoring highest (4.4) and interprofessionalism lowest (3.7). Implementation analysis revealed key facilitators including leadership support (83% agreement) and barriers such as linguistic/cultural differences. Eight implementation strategies were identified and validated through a Delphi process, including continuous training (67% strong agreement) and safety culture promotion (83% strong agreement).

Conclusions: The study demonstrates that developing and implementing a person-centered professional practice model is feasible in home care settings when supported by strong leadership commitment and structured implementation strategies. The model's alignment with the Person-centred Practice Framework of McCance and McCormack provides theoretical validation while offering practical guidance for implementation.

Keywords: Switzerland; home care services; implementation science; person-centered practice; professional practice model.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. The review editor BM declared a past co-authorship with the author CM. The handling editor BM declared a past co-authorship with the author CM.

Figures

Figure 1
Figure 1
Flow chart.
Figure 2
Figure 2
Cluster concept Map generated from participant data analysis, showing relationships between potential components of a professional practice model at SASDS.
Figure 3
Figure 3
Synthesized visual representation of the SASDS professional practice model, showing the hierarchical organization of core values (based on importance ratings) and their interrelationships.
Figure 4
Figure 4
Determinants and implementation strategies of the SASDS professional practice model.
See this image and copyright information in PMC

References

    1. Organization WH. Decade of Healthy Ageing: Baseline Report. Geneva: World Health Organization; (2020).
    1. Reinhardt UE. Does the aging of the population really drive the demand for health care? Health Aff. (2003) 22(6):27–39. 10.1377/hlthaff.22.6.27 - DOI - PubMed
    1. Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. (2012) 380(9836):37–43. 10.1016/S0140-6736(12)60240-2 - DOI - PubMed
    1. Office FS. Les Scénarios de L'évolution de la Population de la Suisse et des Cantons 2020–2050. Neuchâtel: Federal Statistical Office; (2020).
    1. Chastonay P, Weber D, Mattig T. The health of older people in Switzerland. J Public Health Int. (2018) 1(2):5–8. 10.14302/issn.2641-4538.jphi-18-2426 - DOI

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