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

Author

Listed:
  • Roman A. Lewandowski

    (Management Faculty, University of Social Sciences, 90-113 Lodz, Poland
    Voivodeship Rehabilitation Hospital for Children in Ameryka, 11-015 Olsztynek, Poland)

  • Jędrzej B. Lewandowski

    (Faculty of Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland)

  • Inger Ekman

    (Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden)

  • Karl Swedberg

    (Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, 41685 Gothenburg, Sweden)

  • Jan Törnell

    (Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden
    Institute of Neuroscience and Physiology, University of Gothenburg, 40530 Gothenburg, Sweden)

  • Heather L. Rogers

    (Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
    IKERBASQUE Basque Foundation for Science, 48009 Bilbao, Spain)

Abstract

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.

Suggested Citation

  • Roman A. Lewandowski & Jędrzej B. Lewandowski & Inger Ekman & Karl Swedberg & Jan Törnell & Heather L. Rogers, 2021. "Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap," IJERPH, MDPI, vol. 18(5), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2205-:d:504688
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    References listed on IDEAS

    as
    1. Roman Lewandowski, 2020. "The WE-CARE Roadmap: A Framework for Implementation of Person-Centred Care and Health Promotion in Medical Organizations," Journal of Applied Management and Investments, Department of Business Administration and Corporate Security, International Humanitarian University, vol. 9(3), pages 120-132, September.
    2. Anatoliy G. Goncharuk & Roman Lewandowski & Giuseppe T. Cirella, 2020. "Motivators for medical staff with a high gap in healthcare efficiency: Comparative research from Poland and Ukraine," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(6), pages 1314-1334, November.
    3. Helen M. Lloyd & Inger Ekman & Heather L. Rogers & Vítor Raposo & Paulo Melo & Valentina D. Marinkovic & Sandra C. Buttigieg & Einav Srulovici & Roman Andrzej Lewandowski & Nicky Britten, 2020. "Supporting Innovative Person-Centred Care in Financially Constrained Environments: The WE CARE Exploratory Health Laboratory Evaluation Strategy," IJERPH, MDPI, vol. 17(9), pages 1-19, April.
    4. Laura Pirhonen & Kristian Bolin & Elisabeth Hansson Olofsson & Andreas Fors & Inger Ekman & Karl Swedberg & Hanna Gyllensten, 2019. "Person-Centred Care in Patients with Acute Coronary Syndrome: Cost-Effectiveness Analysis Alongside a Randomised Controlled Trial," PharmacoEconomics - Open, Springer, vol. 3(4), pages 495-504, December.
    5. Flamholtz, Eric, 1996. "Effective organizational control: A framework, applications, and implications," European Management Journal, Elsevier, vol. 14(6), pages 596-611, December.
    6. Pirhonen, Laura & Olofsson, Elisabeth Hansson & Fors, Andreas & Ekman, Inger & Bolin, Kristian, 2017. "Effects of person-centred care on health outcomes—A randomized controlled trial in patients with acute coronary syndrome," Health Policy, Elsevier, vol. 121(2), pages 169-179.
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