Challenges and Opportunities for Person Centered Integrated Care Through the Life Course

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Published: Jul 13, 2016
DOI: https://doi.org/10.5750/ijpcm.v6i2.576
Keywords:
Person and people centred care primary care health improvement integration life course

Main Article Content

C. Ruth Wilson
Professor Ruth Wilson, Department of Family Medicine, Queen’s University, 220 Bagot Street, Kingston, Ontario, Canada K7L 4J2
James Appleyard
President, International College of Person Centered Medicine; Former President, World Medical Association, Kent, United Kingdom
Juan E. Mezzich
Secretary General, International College of Person Centered Medicine; Professor of Pyschiatry, Icahn School of Medicine at Mount Sinai, New York USA
Mohammed Abou-Saleh
Professor of Psychiatry, St. George’s, University of London, London, UK
Cal Gutkin
Past Executive Director and Chief Executive Officer, College of Family Physicians of Canada, Mississauga, Canada
Chris van Weel
Emeritus Professor of Family Medicine/General Practice, Radboud University Nijmegen, The Netherlands Honorary Professor of Primary Health Care Research, Australian National University, Canberra, Past President of World Organization of Family Doctors WONCA
Ted Epperly
Professor of Family and Community Medicine, University of Washington School of Medicine, Seattle, Washington: Program Director, Family Medicine Residency, Boise, Idaho, USA.

Abstract

 Objective: To examine the opportunities and challenges in achieving person centered integrated care through the life course.  Methods: Critical literature review and evidence based analysis of person-centered integrated care through the life course, combined with expert consultation. The World Health Organization’s “Global Framework on Integrated People-Centred Health Services” is used as a basis.  Results: Using the approach of the life cycle allows connection of persons’ current health status to their sociocultural, biological, and psychological context. Person centered medicine has as its central precept the relationship between the health professional and person seeking care. This principle is the link to primary health care, which is built on a lasting relationship with individuals and populations in their social context.  The patient’s medical home provides one promising model of how health services can be organized to support the full achievement of person centered integrated care. Re-orientation of the health professional education towards generalism, and the development of metrics for measurement of person centered integrated care are required. In 2016 the global crisis in refugees is a particularly prominent challenge for the delivery of person centered integrated care.  Conclusion: Universal health coverage can provide equitable access to person centered integrated care throughout the life course. Specialized expertise and skills are important for caring for persons with specific conditions at particular times in the life course. When care is well-integrated, transitions of care are smooth and the critical paradigm of person-centeredness is retained.  

Article Details

Issue
Vol. 6 No. 2 (2016)
Section
Regular Articles

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