Barriers and facilitators to the implementation of person-centred care in different healthcare contexts

Background

Priorities for the NHS and social care in 2017

Primary care managers´perceptions of their capability in providing care planning with complex needs

The aim of this study is to investigate primary care managers´perceptions of their capability in providing care planning to patients with complex needs. Care planning is defined as a process where the patient, family and health professionals engage in dialogue about the patient´s care needs and plan care interventions together. 

Integrated Care: theory to practice

"Integrated care" is pitched as the solution to current health system challenges. In the literature, what integrated care actually involves is complex and contested. Multi-disciplinary team management is frequently the primary focus of integrated care when implemented internationally. This study examine the practical application of integrated care in the NHS in England to exemplify the prevalence of the case management focus. It looks at the evidence for effectiveness of multi-disciplinary team case management, for the focus on high-risk groups and for integrated care more generally. They suggest realistic expectations of what integration of care alone can achieve and additional research ...

Person-centred care made simple

There are growing numbers of older people and people living with long-term conditions and disabilities. At the same time, health and social care budgets are under increasing pressure. If the high quality care that affords people the best possible quality of life needs to be provide, it needs to rethink the relationship between people and the services that provide their care. 

This guide seeks to provide a quick overview of person centred care. It is wirtten for anyone interested in health and health care, including health care professionals and those who use the NHS.

Co-Leadership – A Management Solution for Integrated Health and Social Care

Because of teh Co-leadership has been identified as one approach to meet the managerial challenges of integrated services, but research on the topic is limited, the aim of the present study is to investigate co-leadership in integrated health and social care, identify essential preconditions in fulfilling the management assignment, its operationalization and impact on provision of sustainable integration of health and social care. 

Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus

The aim of this study is to analise barriers and facilitators in substituting hospital care with primary care to define preconditions for successful implementation.  So this study was part of a mixed methods study on the feasibility of the Primary Care Plus intervention which was conducted at the pioneer site Blue Care. In this descriptive study, they applied a qualitive design. Data regarding process information was collected through interviews with involved general practitioners and medical specialists and through notes from all meetings with various working groups to identify barriers and facilitators and proposed solutions in order to formulate preconditions for ...

The integration of health and social care services

The Government is committed to the introduction of a single-tier health service, supported by universal health insurance (UHI). Under UHI, everyone will be insured for a standard package of primary and hospital care services, including mental health services. It is understood that primary and hospital care will be funded mainly via the UHI system and social care services and public health services will be funded by general taxation. While funded separately, these services will need to be delivered in an integrated manner around the needs of the person. This review considers the international evidence in relation to mechanisms and structures ...

Continuity of clinical management and information across care levels: perceptions of users of different healthcare areas in the Catalan national health system

The integration of health care has become a priority in most health systems, as patients increasingly receive care from several professionals in various different settings and institutions, particularly those with chronic conditions and multi-morbidities. Continuity of care is defined as one patient experiencing care over time as connected and coherent with his or her health needs and personal circumstances. The objective is to analyse perceptions of continuity of clinical management and information across care levels and the factors influencing it, from the viewpoint of users of the Catalan national health system.

Elaboration of the Gothenburg model of person-centred care

OBJECTIVE:

In this paper, it is aimed to explore professionals understanding of PCC routines as they implement the GPCC model in a range of different settings.

METHODS:

It is conducted a qualitative study and interviewed 18 clinician-researchers from five health-care professions who were working in seven diverse GPCC projects.

RESULTS:

Interviewees accounts of PCC emphasized the ways in which persons are seen as different from patients; the variable emphasis placed on the person's goals; and the role of the person's own resources in building partnerships.

CONCLUSION:

This study illustrates what is needed for health-care professionals to implement PCC ...