IPCHS

Contents tagged: patient autonomy

May 6, 2020

Celebrating the 4th anniversary of the approval of the WHO Framework on integrated and people-centred health services: progress and opportunities ahead

This month marks the fourth anniversary of the approval of the Framework on integrated people-centred health services (IPCHS) and its accompanying resolution WHA69.24 (2016) on “Strengthening integrated people-centred health services” by the World Health Assembly. In May 2016, Member States showed exceptional support to these global commitments and requested WHO to help them implement, adapt, and operationalize this Framework. However, this was not the first time WHO recognized the relevance of health services being managed and delivered so that people, who are active participants of health systems, receive a continuum of care according to their needs throughout the life course. Other previous WHO global and regional commitments, including “People-centred health care: a policy framework” produced by the Western Pacific Region in 2007, the “World health report 2008 on primary health care: now more than ever”, and resolution WHA62.12 (2009) on Primary health care, including health system strengthening, had ...

continuum of care, engaging, monitoring and assessing, patient autonomy, policy makers, reforms, research, shared decision-making, strengthening, translation and dissemination of knowledge, universal health coverage, leadership, partnerships

Oct. 7, 2020 Europe Publication

Engaging and empowering people and communities, Creating an enabling environment

Patient autonomy in the consultation: How signalling structure can facilitate patient-centred care

This paper explores how patient autonomy may be supported or undermined in doctor-patient interactions through sharing information about what is to happen in the consultation. Doctors use a variety of verbal signalling behaviours with multiple functions. As well as sharing information, these behaviours regulate patient agency in the consultation.

assessment, patient agency, patient autonomy, patient concerns, patient-centred communication, signalling structure, signposts, speech act theory

Dec. 21, 2022 Global Publication

Engaging and empowering people and communities, Strengthening governance and accountability, Reorienting the model of care, Coordinating services within and across sectors, Creating an enabling environment

Impact of the person-centred intervention guided self-determination across healthcare settings—An integrated review

The aim of this study was to review the evidence of the existing literature on the impact of guided self-determination across methodologies in different healthcare settings. The conclusion drawn is that overall, guided self-determination proved to have a great impact on patient important outcomes and was useful and well-accepted by the majority of patients and healthcare professionals. Albeit guided self-determination is not a ‘one size fits all’ method. Continuous training and supervision of professionals are a necessary mean when implementing guided self-determination to enhance adoption and sustainability in clinical practice.

decision making, empowerment, guided self-determination, integrative review, nurse patient relations, nursing interventions, patient autonomy, professional- patient relations