Conceptualizing person- and people centeredness in primary health care: a literature review

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Published: Jul 29, 2013
DOI: https://doi.org/10.5750/ijpcm.v3i1.370
Keywords:
Clinical effectiveness equity healthcare development health promotion health systems outcome measurement patient-centred care patient empowerment people-centred care person-centred care person-centred medicine population health primary healthc

Main Article Content

Christine Cecile Leyns
Ghent University
J De Maeseneer
Ghent University,

Abstract

Background and aim: Both concepts “person” and “people” centred are explored within primary health care as defined in the declaration of Alma-Ata (1978) and the WHR 2008. They share common values like respect and features like empowerment. Among those are values like equity and social justice, the necessity to address the upstream causes of ill health , the need to integrate primary care and public health, the urge for a health systems approach and the importance of ‘social cohesion’ and the role of ‘social capital’. This review aimed to provide a relatively simple structure to understand the complex comprehensive people centred health care strategy. An understandable structure is a prerequisite to identify measurable (universal) indicators to support action at all levels of the health care system.Methods: An explorative literature review on the concepts of patient, person, people and community centred or oriented care was performed. The obtained literature was structured using a multilevel perspective and the dynamics of the Donabedian model.Results: Various features of person and people centred care were identified at the three organizational levels that influence health care quality. These levels are the micro or health service/ community level, the meso or health system level and the macro or the international level. They share the need for competent, comprehensive, collaborative, coordinated, responsive, empowering action and social justice.Conclusions: This topic should be further explored by field-work in order to explore the existence of universal processes and to develop local action strategies for person-and-people centred care. 

Article Details

Issue
Vol. 3 No. 1 (2013)
Section
Regular Articles
Author Biographies

Christine Cecile Leyns, Ghent University

department of family medicine and primary health care, PhD candidate

J De Maeseneer, Ghent University,

Professor of Family Medicine, Department of Family Medicine and Primary Health Care, International Centre for Primary Healthcare and Family Medicine, Ghent University, a WHO Collaborating Centre on PHC, Ghent University, Belgium

References

Bensing, J.(2000). Bridging the gap. The separate worlds of evidence-based medicine and patient-centered medicine. Patient Education and Counseling 2000;39(1):17-25.

Wagner, E.H., Bennett, S.M., Austin, B.T., Greene, S.M., Schaefer, J.K., Vonkorff, M. (2005). Finding common ground: patient-centeredness and evidence-based chronic illness care. Journal of Alternative and Complementary Medicine 2005;11 Suppl 1:S7-15.

WHO (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. World Health Organization, Geneva.

WHO (2008). The World Health Report - Primary Health Care Now More Than ever: Chapter 3: Primary care: putting people first. World Health Organization, Geneva.

Institute of Medicine (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. National Academies Press, Washington DC, USA.

Raleigh, V.S. & Foot, C. (2010). Getting the measure of quality: opportunities and challenges. The King’s Fund, London, UK.

De Maeseneer, J., Van Weel, C., Daeren, L., Leyns, C., Decat, P., Boeckxstaens, P., Avonts, D. & Willems, S. (2012) From “patient” to “person” to “people”: the need for integrated, people-centered healthcare. The International Journal of Person Centered Medicine 2012; 2 (3):601-614.

WHO (2010). People-centred care in low and middle-income countries. World Health Organization, Geneva.

Kinder, G., Cashman, S., Seifer, S., Inouye & Hagopian, A. (2000), A. Integrating Healthy Communities Concepts into Health Professions Training. Public Health Reports; 115(2-3): 266–270.

Pongsupap, Y. & Van Lerberghe, W. (2011). People-centred medicine and WHO's renewal of primary health care. Journal of Evaluation in Clinical Practice, 17(2), 339-340.

De Maeseneer, J., van Driel, M., Green, L. A. & van Weel, C. (2003). The need for research in primary care. The Lancet, 362(9392),1314-1319.

Bardes, C.L. (2012). Defining "patient-centered medicine". New England Journal of Medicine. 2012 Mar 1;366(9):782-3.(perspective)

Hudon, C., Fortin, M., Haggerty, JL., Lambert, M., Poitras, ME. (2011). Measuring patients' perceptions of patient-centered care: a systematic review of tools for family medicine. Annals of Family Medicine. 2011 Mar-Apr;9(2):155-64.

McClimans, LM., Dunn, M., Slowther, AM.(2011). Health policy, patient-centred care and clinical ethics. Journal of Evaluation in Clinical Practice. 201;17(5):913-9.

Hobbs, JL. (2009). A dimensional analysis of patient-centered care. Nursing Research 2009 Jan-Feb;58(1):52-62.

Moore, M. (2007). What does patient-centred communication mean in Nepal? Medical Education 2008 Jan;42(1):18-26.

Cloninger, CR. (2010). Person-centred integrative care. Journal of Evaluation in Clinical Practice 2011;17(2):371-2.

Mead, N., Bower, P. (2000). Patient-centredness: a conceptual framework and review of the empirical literature. Social Science & Medicine 2000 Oct;51(7):1087-110.

Buetow, S., Getz, L., Adams, P. (2008). Individualized population care: linking personal care to population care in general practice. Journal of Evaluation in Clinical Practice.2008;14(5):761-6.

Rodriguez-Osorio, C.A., Dominguez-Cherit, G. (2008) Medical decision making: paternalism versus patient-centered (autonomous) care. Current Opinion in Critical Care. 2008;14(6):708-13.

Moore, M. (2007) Talking with patients from Howlong to the Himalayas - do all our patients want us to be patient centred? Australian Family Physician. 2007;36(3):175-6.

Sackett, D.L., Anderson, G.D., Milner, R., Feinleib, M., Kannel, W.B. (1975) Concordance for coronary risk factors among spouses. Circulation. 1975;52:589-595.

Kolonel, L.N., Lee J. (1981) Husband-wife correspondence in smoking, drinking, and dietary habits. The American Journal of Clinical Nutrition 1981;1:99-104.

Hippisley-Cox, J., Coupland, C., Pringle, M., Crown, N., Hammersley, V. (2002). Married couples’ risk of same disease: cross-sectional study. British Medical Journal. 2002;325:636-640.

Agerbo, E.(2003). Risk of suicide and spouse’s psychiatric illness or suicide: nested case-control study. British Medical Journal. 2003;327:1025-1026.

Ferrer, R., Palmer, R., Burge, S. (2005) The Family Contribution to Health Status: A Population-Level Estimate. Annals of Family Medicine 2005;3:102-108.

Holmström, I., Röing, M. (2010). The relation between patient-centeredness and patient empowerment: a discussion on concepts. Patient Education and Counseling 2010 May;79(2):167-72.

Jacobs, G. (2011). “Take Control or Lean Back?” Barriers to Practicing Empowerment in Health Promotion. Health Promotion Practice, 12(1), 94-101.

Rosato, M., Laverack, G., Grabman, LH., Tripathy, P., Nair, N., Mwansambo, C. et al. (2008). Community participation: lessons for maternal, newborn and child health. The Lancet,372,962-971.

Taylor, K. (2009).Paternalism, participation and partnership - the evolution of patient centeredness in the consultation. Patient Education and Counseling 2009 Feb;74(2):150-5.

WHO (2007). People at the Centre of Health Care: Harmonizing mind and body, people and systems. World Health Organization, Geneva.

De Clercq, B., Vyncke, V., Hublet, A., Elgar, F.J., Ravens-Sieberer, U., Currie, C., Hooghe, M., Ieven, A., Maes, L. (2012) Social capital and social inequality in adolescents' health in 601 Flemish communities: a multilevel analysis. Social science& medicine 2012 Jan;74(2):202-10.

Segura, A. (2008) Health policies (population interventions) in health services. 2008 SESPAS Report. Gaceta Sanitaria 2008 Apr;22 Suppl 1:104-10.

Howe, A. (2012) Medical generalism: Why expertise in whole person medicine matters? Royal College of General Practitioners 2012, London. Available at: http://www.rcgp.org.uk/~/media/Files/Policy/A-Z%20policy/Medical-Generalism-Why_expertise_in_whole_person_medicine_matters.ashx (last accessed 28 February 2013)

Van Weel C. (2011). Person-centred medicine in the context of primary care: a view from the World Organization of Family Doctors (Wonca). Journal of Evaluation in Clinical Practice 2011 Apr;17(2):337-8.

Mitchell, G.J., Bournes, D.A., Hollett, J. (2006) Human Becoming-Guided Patient-Centered Care: A New Model Transforms Nursing Practice. Nursing Science Quarterly July 2006;19:3218-224

Frankel, RM., Eddins-Folensbee, F., Inui, TS. (2011) Crossing the patient-centered divide: transforming health care quality through enhanced faculty development. Academic Medicine. 2011 Apr;86(4):445-52.

Illingworth, R. (2010) What does 'patient-centred' mean in relation to the consultation? The Clinical Teacher 2010 Jun;7(2):116-20.

Kontos, N., Querques, J., Freudenreich, O. (2011). Two's company, three hundred million's a crowd: balancing clinical integrity and population consciousness in medical education. Academic Medicine 2011 Nov;86(11):1341.

Royal College of Physicians (2010) How Doctors Can Close the Gap: Tackling the Social Determinants of Health through Culture Change, Advocacy and Education; Royal College of Physicians, UK 2010 available at: http://www.phorcast.org.uk/document_store/1302689465_Fflh_11a._rcp_social_determinants_of_health_-_policy_st.pdf (last accessed 28 February 2013).

Frenk, J., Chen, L., Bhuta, Z.A. et al. (2010) Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet. 2010;376(9756):1923-58.

Rathert, C., May, D.R. (2008). Person-centered work environments, psychological safety, and positive affect in healthcare: a theoretical framework. Organizational Ethics 2008;4(2):109-25.

De Vos, P.,De Ceukelaire, W., Malaise, G., Pérez, D., Lefèvre P & Van der Stuyft, P. (2009). Health through people’s empowerment: a rights-based approach to participation. Health and Human Rights, 11(1), 23-35.

WHO (2007). People-Centred Health Care: A policy framework. World Health Organization 2007, Geneva.

Neuwelt, P., Matheson, D., Arroll, B., Dowell, A., Winnard, D., Crampton, P., Sheridan, N.F., Cumming (2009). Putting population health into practice through primary health care. The New Zealand Medical journal;122(1290):98-104.

Goodwin, N., Smith, J., Davies, A., Perry, C., Rosen, R., Dixon, A. et al. (2012). Integrated care for patients and populations: Improving outcomes by working together. A report to the Department of Health and the NHS Future Forum. The King's Fund, London, UK.

Maizes, V., Rakel, D., Niemiec, C. (2009). Integrative medicine and patient-centered care. Explore (NY). 2009 Sep-Oct;5(5):277-89.

Hammerly, M. (2002) Commentary: patient-centered care, the sine qua non of collaborative medicine. American Journal of Medical Quality 2002 Jan-Feb;17(1):33-8.

Dresang, L.T., Brebrick, L., Murray, D., Shallue, A., Sullivan-Vedder, L. (2006) Family Medicine in Cuba: Community-Oriented Primary Care and Complementary and Alternative Medicine. The Journal of the American Board of Family Practice 2005;18:297–303.

Berry, L.L., Seiders, K., Wilder, S.S. (2003). Innovations in access to care: a patient-centered approach. Annals of Internal Medicine. 2003 Oct 7;139(7):568-74.

Mitchell, D.A., Lassiter, S.L. (2006). Addressing Health Care Disparities and Increasing Workforce Diversity: The Next Step for the Dental, Medical, and Public Health Professions. American Journal of Public Health: December 2006, Vol. 96, No. 12, pp. 2093-2097. Available at: http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2005.082818 (last accessed 28 February 2013).

Marmot, M., Atkinson, T., Bell, J. et al. (2010). Fair Society, Healthy Lives: A Strategic Review of Health Inequalities in England Post-2010. London: The Marmot Review.

Swanson, R.C., Bongiovanni, A., Bradley, E. et al. (2010) Toward a Consensus on Guiding Principles for Health Systems Strengthening. Public Library of Science medicine 7(12) available at: http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000385 (last accessed 28 February 2013).

Davis, K., Schoenbaum, S.C., Audet, A.M. (2005). A 2020 vision of patient-centered primary care. Journal of General Internal Medicine. 2005 Oct;20(10):953-7.

Van Weel, C., De Maeseneer, J., Roberts, R. (2008) Integration of personal and community health care. The Lancet;372(9642):871 - 872.

Institute of Medicine. (2012). Primary Care and Public Health: Exploring Integration to Improve Population Health. Washington, DC: The National Academies Press.

Stevenson Rowan, M., Hogg, W., Huston, P. (2007) Integrating Public Health and Primary Care. Health Policy.2007;3(1): e160–e181.

Keleher, H. (2011). Population health planning for health equity. Australian Journal of Primary Health care 2011;17(4):327-33.

Nightingale, E.O., Hannibal, K., Geiger, J., Hartmann, L., Lawrence, R., Spurlock, J. (1990) Apartheid medicine: Health and human rights in South Africa. The Journal of the American Medical Association, 1990, 264: 2097-2102.

Lamiani, G., Meyer, E.C., Rider, E.A., Browning, D.M., Vegni, E., Mauri, E., Moja, E.A., Truog, R.D. (2008). Assumptions and blind spots in patient-centredness: action research between American and Italian health care professionals. Medical Education 2008 Jul;42(7):712-20.

Sikora, C., Johnson, D. (2009). The family physician and the public health perspective. Canadian Family Physician. 2009; 55(11): 1061–1063

Hauri, A.M., Armstrong, G., Hutin, Y. (2004).The Global Burden of Disease Attributed to Contaminated Injections Given in Health Care Settings. International Journal of STD & AIDS 2004;15(1):7–16(0).

Egilman, D., Bord, Y., Mora, F., Druar, N. (2011). Get AIDS and Survive? The “Perverse” Effects of Aid: Addressing the Social and Environmental Determinants of Health, Promoting Sustainable Primary Care, and Rethinking Global Health Aid. International Journal of Occupational and Environmental Health 2011;17(4):364-382.

Van Staden, W. (2011). African approaches to an enriched ethics of person centered health practice. International Journal of Person centered Medicine 1 (1) 14-