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

Roman A. Lewandowski, Jędrzej B. Lewandowski, Inger Ekman, Karl Swedberg, Jan Törnell and Heather L. Rogers
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Roman A. Lewandowski: Management Faculty, University of Social Sciences, 90-113 Lodz, 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
Karl Swedberg: Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden
Jan Törnell: Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden
Heather L. Rogers: Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain

IJERPH, 2021, vol. 18, issue 5, 1-11

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.

Keywords: person-centered care; patient-centered care; implementation feasibility; multi-disciplinary care team; scoliosis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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