Philosophical knowledge is warranted for the successful implementation of person-centred care

One potentially restrictive environment of person-centred care might be the intensive care unit (ICU) where RNs working in ICUs on a daily basis are caring for critically ill patients in a highly technological and stressful milieu. Nursing care for critically ill patients at the ICU is described as task-oriented and mainly based on the patient’s medical needs. The purpose of this contemporary issue paper is to suggest that a photograph of the patient could be used as a tool to support RNs working in ICU in applying person-centred care and their understanding of the philosophical underpinnings for person-centred care. 

Main factors affecting perceived quality in healthcare: a patient perspective approach

Delivering patient-centered healthcare is now seen as one of the basic requirements of good quality care. In this research, the impact of the perceived quality of three experiential dimensions (Physical Environment, Empowerment and Dignity and Patient–Doctor Relationship) on patient´s Experiential Satisfaction is assessed.

Between Social Inclusion and Exclusion: Integration of Daycare Guests in the Nursing Home Setting

In integrated daycare, community-dwelling older people in need of care join existing groups in residential care facilities during the day. This study focuses on how nursing home residents experience the integrative care approach, exploring opportunities for social inclusion and mechanisms of exclusion.

Has COVID-19 changed the workload for primary care physicians? The case of Spain

The COVID-19 pandemic has led to a massive over-exertion of doctors, multiplying their work intensity, overload and stress. Work overload and the emotional state of health workers is one of the many repercussions of the COVID-19 pandemic. The results derived from this study may be useful in formulating policies and practices related to the workforce development, funding streams to prepare for the next wave of COVID-19 infections as well as for future public health emergencies.

Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia

Research on models of integrated health care for hypertension and diabetes is one of the priority issues in the world. There is a lack of knowledge about how integrated care is implemented in practice. Our study assessed its implementation in six areas: identification of patients, treatment, health education, self-management support, structured collaboration and organisation of care.

Implementation of patient-centred care: which system-level determinants matter from a decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations

The healthcare system is characterised by a high degree of complexity and involves various actors at different institutional levels and in different care contexts. To implement patient-centred care (PCC) successfully, a multidimensional consideration of influencing factors is required. Our qualitative study aims to identify system-level determinants of PCC implementation from the perspective of different health and social care organisations (HSCOs).

The results showed the necessity of enforcing paradigm changes at the system level from disease-centredness to patient-centredness while aligning policy and reimbursement decisions directly with patient needs and values. A systematic, long-term planned strategy that extends across all organisations is ...

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

This 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). Our 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.

Integrated care: easy in theory, harder in practice?

Integrated care (IC) is a term now commonly adopted across the world, which implies a positive attitude towards addressing fragmentation of service provision inside health systems. While the principles of IC are simple, their implementation is more controversial. The ever growing number of IC definitions is related to the increasing domains of applications, which reflect the increasing demand induced by ageing multi-morbid patients. An exhaustive definition of IC should now enclose the coordination of health and social services useful to deliver seamless care across organizational boundaries. The current debate on IC is largely fueled by the modern mismatch between the ...

Integrated Care in Europe: Time to Get it Together?

What are the priorities for the future development of integrated care? A scoping review

“Integrated care” (IC) is an approach to health and social care delivery that aims to prevent problems arising from fragmented care systems. The collective content of the IC literature, whilst valuable, has become extensive and wide-ranging to such a degree that knowing what is most important in IC is a challenge. This study aims to address this issue.