Person-centred care in European countries – stakeholders, practitioners and researchers' perspectives
Short description
Interest in Person-centred care (PCC) is growing, but what does use of PCC look like? The theoretical framework is based on Everett’s concepts innovator (risk taker), early adopter (locally rooted innovator), early majority (cautionary decision-making), late majority (sceptical, need pressure), stragglers (suspicious, bound to traditions). A qualitative design was used, consisting of interviews with employees at micro (ward), meso (hospital) and macro (national) level. 1) A literature review was conducted in 27 countries regarding designation of PCC and characteristics of healthcare systems such as financing and demographic data (population, places for care, etc.). 2) Interviews with first-line managers, hospital managers, researchers and officials describe experiences of implementing and using PCC in their respective home countries.
Short Description of main results
On macrolevel, countries characterized by a tax financed and public health care industry (Beveridge) was successful in the diffusion of person-centred care. In contrast, few countries practicing statutory and health insurance healthcare (Bismarck) practiced person-centred care.
Another observation on macrolevel was a covariation between low power distance, i.e. non-bureaucratic culture, horizontal relations and adhocracy, and person-centred care. In contrast, countries characterized by high power distance, i.e. vertical hierarchical relations and autocracy seemed to show a slow adherence to person-centred care.
Published scientific articles and other output
Rosengren, K. Brannefors, P. & Carlström, E. (2021). Adoption of the concept of Person-centred care into discourse in Europe: A systematic literature review. Journal of Health Organization and Management 35(9): 265-280. DOI 10.1108/JHOM-01-2021-0008.
Rosengren, K., Buttigieg, S., Badanta , B. & Carlstrom, E. (2022). Diffusion of person-centred care within 27 European countries – interviews with managers, officials, and researchers at the micro, meso, and macro levels. Journal of Health Organization and Management. (accepted for publication 221017).
Researchers
Researchers
Kristina Rosengren RN, PhD, Assistant Professora,b,c
Sandra Buttigieg MD, PhD, Associate Professor d
Bárbara Badanta RN, PhD, Research Teaching Professor e
Eric Carlström RN, PhD, Professor a,b,f
a Centre for Person-centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, SE-405 30 Gothenburg, Sweden
b Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, SE-405 30 Gothenburg, Sweden
c Sahlgrenska University Hospital, Department of Internal Medicine, Mölndal, Sweden
d Department of Health Services Management, Faculty of Health Sciences, University of Malta, Malta.
e Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Spain
f Institution of Law and Social Sciences, University College of Southeast Norway, NO-3184 Borre, Norway