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Tenacious assumptions of person-centred care? Exploring tensions and variations in practice.

Journal article
Authors Öncel Naldemirci
Doris Lydahl
Nicky Britten
Mark Elam
Lucy Moore
Axel Wolf
Published in Health (London, England : 1997)
Volume 22
Issue 1
Pages 54-71
ISSN 1461-7196
Publication year 2018
Published at University of Gothenburg Centre for person-centred care (GPCC)
Department of Sociology and Work Science
Institute of Health and Care Sciences
Pages 54-71
Language en
Links dx.doi.org/10.1177/1363459316677627
www.ncbi.nlm.nih.gov/entrez/query.f...
Subject categories Sociology (excluding Social Work, Social Psychology and Social Anthropology), Health Care Service and Management, Health Policy and Services and Health Economy, Nursing

Abstract

In recent decades, the 'tenacious assumptions' of biomedicine regarding the neutrality and universality of its knowledge claims have been significantly challenged by the growth of new collaborative and patient-focused models of Healthcare delivery. In this article, we discuss and critically reflect upon one such alternative Healthcare model developed at the University of Gothenburg Centre for Person-Centred Care in Sweden. This centre uses three clinical routines of narrative, partnership and documentation to provide Healthcare to people recognized as unique individuals rather than patients. Person-centred care in Gothenburg and more broadly is based on the assumption that a person is independently capable of reasoning and verbal expression and willing to provide clear and genuine narratives and cooperate with Healthcare professionals However, we argue that by emphasizing individual capabilities of reasoning and verbal expression, an unnecessarily limited conception of personhood risks being imposed on these routines. Drawing upon semi-structured interviews with researchers in three very different Gothenburg Centre for Person-Centred Care research projects - about healthy ageing in migrant communities, neurogenic communication disorders, and psychosis - we highlight that how persons are recognized as unique and capable varies significantly in practice across different Healthcare settings. Thus, we assert that person-centred care's own potentially tenacious assumptions about the attributes of personhood risk distracting attention away from the variety of creative ways that professionals and persons promisingly find for translating the ideal of person-centred care into practice.

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