Patient centred care

Kulnik, Stefan Tino (2016) Patient centred care. In: 4th European Congress of ER-WCPT, the European Region of the World Confederation of Physical Therapy : Advancing Physiotherapy : Demonstrating Value and Impact; 11-12 Nov 2016, Liverpool, U.K.. (Unpublished)


This presentation will describe an exemplar of patient/person-centred care delivered within a dedicated self-management approach for people with multiple and complex long-term conditions. Central to this is how an interprofessional approach can successfully facilitate person-centred care across professional and organisational boundaries. Person-centred care - not to be mistaken with personalised medicine - is a somewhat fluent concept. In general terms, it encompasses care, support or treatment that is compassionate and respectful, coordinated, tailored to the individual and enabling. Tenets of person-centred care can be found in, and be informed by, different theoretical perspectives, for example disability theory, the concept of personhood (for example in the care of people with dementia), or healthcare consumerism (in the sense of a customer care approach to healthcare service provision). Person-centred care is, to some degree, inherently variable and context-dependent, and it also continues to evolve. Because of this, both the values that underpin it and its operationalisation (i.e. what it looks and sounds like in practice), need to be informed by conceptual clarity. Groundwork and leadership are required to build, share and maintain the ethos within the team. Where healthcare teams operate within a wider network and interlink with social care providers, a whole system approach is required. There are many different ways, in which person-centred care can be realised, from small initiatives to substantial service improvement projects. Most require awareness and sensitivity to issues of power, control, hierarchy and financial drivers. Many draw on participatory methods, co-production and service user involvement.

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