Adoption of the concept of person-centred care into discourse in Europe: a systematic literature review

Abstract

PurposeThis study aims to describe how person-centred care, as a concept, has been adopted into discourse in 23 European countries in relation to their healthcare systems (Beveridge, Bismarck, out of pocket).Design/methodology/approachA literature review inspired by the SPICE model, using both scientific studies (CINHAL, Medline, Scopus) and grey literature (Google), was conducted. A total of 1,194 documents from CINHAL (n = 139), Medline (n = 245), Scopus (n = 493) and Google (n = 317) were analysed for content and scope of person-centred care in each country. Countries were grouped based on healthcare systems.FindingsResults from descriptive statistics (percentage, range) revealed that person-centred care was most common in the United Kingdom (n = 481, 40.3%), Sweden (n = 231, 19.3%), the Netherlands (n = 80, 6.7%), Northern Ireland (n = 79, 6.6%) and Norway (n = 61, 5.1%) compared with Poland (0.6%), Hungary (0.5%), Greece (0.4%), Latvia (0.4%) and Serbia (0%). Based on healthcare systems, seven out of ten countries with the Beveridge model used person-centred care backed by scientific literature (n = 999), as opposed to the Bismarck model, which was mostly supported by grey literature (n = 190).Practical implicationsAdoption of the concept of person-centred care into discourse requires a systematic approach at the national (politicians), regional (guidelines) and local (specific healthcare settings) levels visualised by decision-making to establish a well-integrated phenomenon in Europe.Social implicationsEvidence-based knowledge as well as national regulations regarding person-centred care are important tools to motivate the adoption of person-centred care in clinical practice. This could be expressed by decision-making at the macro (law, mission) level, which guides the meso (policies) and micro (routines) levels to adopt the scope and content of person-centred care in clinical practice. However, healthcare systems (Beveridge, Bismarck and out-of-pocket) have different structures and missions owing to ethical approaches. The quality of healthcare supported by evidence-based knowledge enables the establishment of a well-integrated phenomenon in European healthcare.Originality/valueOur findings clarify those countries using the Beveridge healthcare model rank higher on accepting/adopting the concept of person-centered care in discourse. To adopt the concept of person-centred care in discourse requires a systematic approach at all levels in the organisation—from the national (politicians) and regional (guideline) to the local (specific healthcare settings) levels of healthcare.

A Psychometric Evaluation of the Family Collaboration Scale and an Investigation of How the Close Family of Frail Older Patients Perceive the Collaboration with Healthcare Professionals on Acute Medical Wards at Hospitals in Sweden

“…Furthermore, the highest rating of perceived collaboration was on the subscale Trust and its prerequisites . The results might be an expression of person-centred care, a policy and criterion for quality of care applied for more than a decade in Sweden [ 35 ]. Person-centred care implies that the patient is viewed as a person with resources and abilities.…”

“…Person-centred care implies that the patient is viewed as a person with resources and abilities. Such care is characterised by listening to what the person has to say and by partnership and agreement between the patient, family and healthcare professionals regarding interventions [ 35 , 36 , 37 ]. Since collaboration is part of person-centred care, the FCS should be tested as an outcome measure in the implementation of person-centredness in practice.…”

“…The results on guilt and powerlessness are in line with the Danish ones [ 21 ], indicating that such feelings, together with a feeling of insufficiency, are highly relevant for family members’ perception of the quality of collaboration with healthcare professionals. There has been a lot of investment in the implementation of person-centred care in clinical practice [ 35 ], but this study indicates that further effort is required, with increased focus on the co-creation of healthcare involving patients, family members, healthcare professionals and managers.…”

Tailoring and Evaluating an Intervention to Support Self-management After Stroke: Protocol for a Multi-case, Mixed Methods Comparison Study

“…Self-management has also been described as a fundamental part of person-centered care [ 13 ], which aims to give people opportunities to improve and manage their health according to their beliefs, values, and preferences. Person-centered care also supports the premise that people should be given tools and strategies to recognize and develop their strengths and abilities to live independent and satisfying lives as much as is possible [ 14 - 16 ]. In that sense, the concept of person-centered care is strongly related to person-centered self-management support, which prioritizes and encourages patients to define their health outcomes according to what is most meaningful and important [ 17 ].…”

Person-centred care on the move – an interview study with programme directors in Swedish higher education

“…There is an increasing trend towards person-centred care (PCC) throughout the world, advocated by different stakeholders, including the World Health Organization (WHO), patients, relatives and health care professionals (HCPs) [1][2][3][4]. Different definitions and understandings of PCC exist, with the common denominator being mutual respect and co-creation of health and care where the patient is an active partner in and not a passive recipient of care [4,5]. Studies have found that PCC improves patients' health [6], staff 's work satisfaction and health [7], and that it is financially viable [8,9].…”