Barriers and facilitators to the implementation of person‐centred care in different healthcare contexts

作者：LUCY M. MOORE, Nicky Britten, Doris Lydahl, Öncel Naldemirci, Mark J. Elam, Axel Wolf · 发表于：Scandinavian Journal of Caring Sciences · 年份：2016 · DOI：10.1111/scs.12376 · 被引用次数：516 · 研究领域：Patient-Provider Communication in Healthcare、Mental Health and Patient Involvement、Psychiatric care and mental health services

BACKGROUND: To empower patients and improve the quality of care, policy-makers increasingly adopt systems to enhance person-centred care. Although models of person-centredness and patient-centredness vary, respecting the needs and preferences of individuals receiving care is paramount. In Sweden, as in other countries, healthcare providers seek to improve person-centred principles and address gaps in practice. Consequently, researchers at the University of Gothenburg Centre for Person-Centred Care are currently delivering person-centred interventions employing a framework that incorporates three routines. These include eliciting the patient's narrative, agreeing a partnership with shared goals between patient and professional, and safeguarding this through documentation. AIM: To explore the barriers and facilitators to the delivery of person-centred care interventions, in different contexts. METHOD: Qualitative interviews were conducted with a purposeful sample of 18 researchers from seven research studies across contrasting healthcare settings. Interviews were transcribed, translated and thematically analysed, adopting some basic features of grounded theory. ETHICAL ISSUES: The ethical code of conduct was followed and conformed to the ethical guidelines adopted by the Swedish Research Council. RESULTS: Barriers to the implementation of person-centred care covered three themes: traditional practices and structures; sceptical, stereotypical attitudes from professionals; and fa...