Principles of patient-centred care and barriers to their implementation: a case study of breast reconstruction in Australia

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Kathy FlitcroftAndrew Spillane

Abstract

"Patient-centred care" is widely promoted as an ideal goal of health care systems, but is often difficult to achieve in practice. This article has three aims: to develop an original set of generalisable patient-centred care principles (PCCPs); to identify barriers to the implementation of these principles in a real-world setting, using breast reconstruction (BR) services in Australia as a case study; and to document examples of successful patient-centred care in relation to BR. Semi-structured interviews (n = 90) were conducted with 31 breast and plastic reconstructive surgeons, 37 breast cancer health professionals and 22 women who underwent mastectomy as part of their breast cancer treatment and were dissatisfied with their BR experiences. Ten broad PCCPs were derived from our participant interviews. These principles comprised the following: maximising patient choice, access to services, patient and family support and appropriateness of information; minimising patient costs and physical and psychosocial morbidity; and facilitating informed decision-making, interdisciplinary patient management and evidence-informed practice. While the major barriers to the implementation of these PCCPs in relation to BR were resource driven, s...Continue Reading

References

Mar 19, 2013·ANZ Journal of Surgery·Patrick TansleyDamien Grinsell
Mar 12, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·D D OhA J Spillane
Dec 6, 2017·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kathryn H SteeleStephen J McCulley
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Sep 13, 2018·Healthcare Management Forum·D Wayne Taylor, Jacqueline J Cahill
Feb 1, 2019·BMJ : British Medical Journal·Matthew Lariviere

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Citations

Nov 16, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Kathy FlitcroftAndrew Spillane
Jul 24, 2021·HIV Medicine·David CrawfordGraham Brown

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