Enacting person-centredness in integrated care: A qualitative study of practice and perspectives within multidisciplinary groups in the care of older people

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Lisa K RisteCaroline Sanders

Abstract

Person-centredness is important in delivering care for long-term conditions. New models of care aim to co-ordinate care through integration of health and social care which require new ways of working, often remotely from the patient. To describe how person-centred care is enacted within multidisciplinary groups (MDGs) created as part of a new service, integrating health and social care for older people. We followed the implementation of eight neighbourhood MDGs, observing and interviewing staff from three MDGs at different phases of programme implementation using semi-structured topic guides. Thirty-four MDG meetings were observed and 32 staff interviewed. Three core themes were identified which impacted on enactment of person-centred care: the structural context of MDGs enabling person-centred care; interaction of staff and knowledge sharing during the MDG meetings; and direct staff involvement of the person outside the MDG discussion. This study provides new insights into attempts to enact person-centred care within a new model of service delivery. Teams did what they could to enact person-centred care in the absence of the "real" patient within MDG meetings. They were successful in delivering and co-ordinating some aspects o...Continue Reading

References

Jul 11, 2009·International Journal of Integrated Care·Gail D ArmitageCarol E Adair
Aug 11, 2010·Journal of Evaluation in Clinical Practice·France LégaréIan D Graham
Aug 28, 2010·Journal of Interprofessional Care·France LégaréIan D Graham
Aug 19, 2015·Social Science & Medicine·Graham P MartinMary Dixon-Woods
Oct 11, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Maritt KirstWalter P Wodchis

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