Perspectives of older people and healthcare providers on implementing person-centred care for community-dwelling older people: a systematic review and qualitative meta-synthesis

Abstract

Background Person-centred care is a critical approach to improve the quality of care targeted to community-dwelling older people. The old-age care services could be provided according to the choices, needs and preferences of the elderly. However, there have been few studies to synthesize qualitative studies and no consensus about influencing factors on providing person-centred care in community. The aim of this study was to synthesize research evidence on perceptions and experiences of older people and healthcare providers on person-centred care and determine the enablers and barriers to implementing person-centred care for community-dwelling older people. Methods Searches were performed in PubMed, Embase, Cochrane, PsycINFO and CINAHL in published articles and were reviewed from the earliest available date to April 2022. A quality appraisal was undertaken targeted to selected articles by the Qualitative Method Appraisal Tool. And the results from the included studies were interpreted and synthesized through a meta-synthesis. Results Nine included articles were analyzed to identify 89 findings that were organized into 11 categories and combined into three synthesized findings—stakeholder capability; opportunities in the implementation of person-centred care; motivation in the implementation of person-centred care. Summarizing these themes helps stakeholders to identify influencing factors that improve the implementation of person-centred care. Conclusions The findings of this study provide a reference for implementing successful person-centred care in the community. Improving person-centred care service should develop the capability and motivation of stakeholders, and increase opportunities to build a positive environment for meaningful interactions between caregivers and older people.

Dementia care and prevention in community settings: a built environment framework for cognitive health promotion

“…A third of the frameworks ( n = 21) delved deeply into psychosocial factors for integrated, person-centred care [69 ▪▪ ,70 ▪▪ ,71 ▪ –73 ▪ ,74,75]. They demonstrated the clinical relevance of being “finely aware and richly responsible” [76] albeit excluding the built environment.…”