Barriers and facilitators to the implementation of person-centred care in different healthcare contexts.
Lucy Moore, Nicky Britten, Doris Lydahl and 3 others
PMID 27859459WHAT IT FOUND
Researchers implementing person-centred care described time, usual care habits, sceptical attitudes and fragmented documentation as barriers, and leadership, training, seeing patients as capable partners and involving relatives or peers as facilitators.
Key findings
01Researchers described traditional biomedical practices, time constraints, sceptical or habitual professional attitudes, vulnerable populations and fragmented documentation as barriers to person-centred care.
02Leadership, person-centred care training, positive staff attitudes and participatory delivery with patients, relatives or peers were described as facilitators.
03For neurogenic communication disorders, staff focusing only on speech and time needed to learn alternative communication were barriers, while seeing residents as communication partners and training staff were facilitators.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
Only researchers were interviewed; patients were not included, so the findings reflect implementers' views rather than patient experiences. Projects were at different stages of development and implementation, and some interviewees drew on past, abstract or hypothetical situations. The study reports no patient outcomes, so it cannot show whether person-centred care improved care or clinical results. Interviews were translated or transcribed, and participants were researchers whose first language was not English.
Declared interests
No conflicts-of-interest declaration is included. The text says the Centre for Person-Centred Care obtained national funding and funds person-centred care research.
The easy way to misread this
Do not read these themes as evidence that person-centred care improves patient outcomes or that the GPCC model works. The study interviewed 18 researchers about implementation barriers and facilitators, and patients were not interviewed.