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Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap

Background: Person-Centered Care (PCC) is a promising approach towards improved quality of care and cost containment within health systems. It has been evaluated in Sweden and England. This feasibility study examines initial PCC implementation in a rehabilitation hospital for children in Poland. Met...

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Autores principales: Lewandowski, Roman A., Lewandowski, Jędrzej B., Ekman, Inger, Swedberg, Karl, Törnell, Jan, Rogers, Heather L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7956736/
https://www.ncbi.nlm.nih.gov/pubmed/33668083
http://dx.doi.org/10.3390/ijerph18052205
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author Lewandowski, Roman A.
Lewandowski, Jędrzej B.
Ekman, Inger
Swedberg, Karl
Törnell, Jan
Rogers, Heather L.
author_facet Lewandowski, Roman A.
Lewandowski, Jędrzej B.
Ekman, Inger
Swedberg, Karl
Törnell, Jan
Rogers, Heather L.
author_sort Lewandowski, Roman A.
collection PubMed
description Background: Person-Centered Care (PCC) is a promising approach towards improved quality of care and cost containment within health systems. It has been evaluated in Sweden and England. This feasibility study examines initial PCC implementation in a rehabilitation hospital for children in Poland. Methods: The WE-CARE Roadmap of enablers was used to guide implementation of PCC for patients with moderate scoliosis. A multi-disciplinary team of professionals were trained in the PCC approach and the hospital Information Technology (IT) system was modified to enhance PCC data capture. Semi-structured interviews were conducted with the nine health care professionals involved in the pilot study and three patients/parents receiving care. Transcribed data were analyzed via content analysis. Results: 51 patients and their families were treated via a PCC approach. High proportions of new PCC data fields were completed by the professionals. The professionals were able to implement the three core PCC routines and perceived benefits using the PCC approach. Patients and their families also perceived improved quality care. The WE-CARE framework enablers facilitated PCC implementation in this setting. Conclusions: This feasibility pilot study indicates that the Gothenburg PCC approach can be successfully transferred to a rehabilitation hospital in Poland with favorable perceptions of implementation by both professionals and patients/their families.
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spelling pubmed-79567362021-03-16 Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap Lewandowski, Roman A. Lewandowski, Jędrzej B. Ekman, Inger Swedberg, Karl Törnell, Jan Rogers, Heather L. Int J Environ Res Public Health Article Background: Person-Centered Care (PCC) is a promising approach towards improved quality of care and cost containment within health systems. It has been evaluated in Sweden and England. This feasibility study examines initial PCC implementation in a rehabilitation hospital for children in Poland. Methods: The WE-CARE Roadmap of enablers was used to guide implementation of PCC for patients with moderate scoliosis. A multi-disciplinary team of professionals were trained in the PCC approach and the hospital Information Technology (IT) system was modified to enhance PCC data capture. Semi-structured interviews were conducted with the nine health care professionals involved in the pilot study and three patients/parents receiving care. Transcribed data were analyzed via content analysis. Results: 51 patients and their families were treated via a PCC approach. High proportions of new PCC data fields were completed by the professionals. The professionals were able to implement the three core PCC routines and perceived benefits using the PCC approach. Patients and their families also perceived improved quality care. The WE-CARE framework enablers facilitated PCC implementation in this setting. Conclusions: This feasibility pilot study indicates that the Gothenburg PCC approach can be successfully transferred to a rehabilitation hospital in Poland with favorable perceptions of implementation by both professionals and patients/their families. MDPI 2021-02-24 2021-03 /pmc/articles/PMC7956736/ /pubmed/33668083 http://dx.doi.org/10.3390/ijerph18052205 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lewandowski, Roman A.
Lewandowski, Jędrzej B.
Ekman, Inger
Swedberg, Karl
Törnell, Jan
Rogers, Heather L.
Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap
title Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap
title_full Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap
title_fullStr Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap
title_full_unstemmed Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap
title_short Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap
title_sort implementation of person-centered care: a feasibility study using the we-care roadmap
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7956736/
https://www.ncbi.nlm.nih.gov/pubmed/33668083
http://dx.doi.org/10.3390/ijerph18052205
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