National Ageing Research Institute. What is person-centred health care: Research review and practice perspectives. Overview of presentation. Definitions of person-centred health care (PCHC); What is PCHC? Does PCHC work? Models of PCHC Service user perspectives Facilitators of PCHC
Client-centred care is an approach to service “which embraces a philosophy of respect for, and a partnership with people receiving services” (Law, Baptiste and Mills, 1995).
“A collaborative effort consisting of patients, patients’ families, friends, the doctors and other health professionals …” (Lutz and Bowers, 2000).
“Treatment and care provided by health services [that] places the person at the centre of their own care and considers the needs of the older person’s carers” (DHS, 2003).
(for older persons, for their values, needs and preferences)
(between the older person (and their family) and the professional care team)
(health services revolving around the service user rather than around funders and/or professionals)
Many models identified in the literature:
Mead et al (2000) proposed 5 dimensions to person-centred health care (based on criticisms of the bio-medical model):
An overriding principle of this model is the importance of both the doctor and the patient in the patient’s care.
McCormack and colleagues (2001) identified the following values related to person-centred health care:
Law et al (1995) outlined 7 key concepts to client-centred practice
Autonomy and Choice:
Assumes clients’ opinions will be sought, values respected and dignity maintained. It refers to a client having the right to receive information in a manner they can understand so they can make choices about their care.
each person in the partnership brings with them expert knowledge and skills; and
all parties in the partnership have responsibilities.Occupational Therapy (3)
Incorporates the change in focus from illness to wellness, the change in outcome measures from acute care outcomes to function and life satisfaction and the consideration of client’s capabilities versus deficiencies.
The importance of understanding the client’s roles, values, interests and the environment and culture in which they live as central to the process of providing client-centred care.
Advocates for equitable service provision that is provided in a timely and accessible manner to meet the needs of the client.
The need to respect differences in values and beliefs, and being aware of the balance of power within the relationship.
10 principles were identified from the hospitality industry that may be applicable to health services (Ford & Fottler, 2000):
A qualitative research study to gain participants’ perspectives about what client-centred care should be - based on their own experiences with health services.Corring and Cook study (1999)
Results: Service providers should:
Results (continued): Service providers should:
What is important in health care?
What is important in health care? (continued)
For more information about person-centred health care please see the following website:
Corring, D., & Cook, J. (1999). Client-centred care means that I am a valued human being. Canadian Journal of Occupational Therapy, 66(2), 71-82.
Department of Human Services, V. (2003). Improving care for older people: a policy for health services. Melbourne: DHS.
Ford, R. C., & Fottler, M. D. (2000). Creating customer-focused health care organizations. Health Care Management Review, 25(4), 18-33.
Ford, P., & McCormack, B. (2000). Keeping the person in the centre of nursing. Nursing Standard, 14(46), 40-44.
Law, M., Baptiste, S., & Mills, J. (1995). Client-centred practice: what does it mean and does it make a difference? Canadian Journal of Occupational Therapy, 62(5), 250-257.
Lutz, B. J., & Bowers, B. J. (2000). Patient-centered care: understanding its interpretation and implementation in health care. Scholarly Inquiry for Nursing Practice, 14(2), 165-183.
McCormack, B., & Ford, P. (1999). The contribution of expert gerontological nursing. Nursing Standard, 13(25), 42-45.
McCormack, B. (2001). Autonomy and the relationship between nurses and older people. Ageing and Society, 21, 417-446.
Mead, N., & Bower, P. (2000). Patient-centredness: a conceptual framework and review of the empirical literature. Social Science and Medicine, 51(7), 1087-1110.
NARI. (2007). Best practice in person-centred health care for older Victorians: Report of Phase 1. Report to the Victorian Department of Human Services
Sullivan, C. W., & Yudelowitz, I. S. (1996). Goals of treatment: Staff and client perceptions. Perspectives in Psychiatric Care, 32(1), 4-6.