Roman A Lewandowski1,2, Jędrzej B Lewandowski3, Inger Ekman4,5, Karl Swedberg4,6, Jan Törnell4,7, Heather L Rogers8,9. 1. Management Faculty, University of Social Sciences, 90-113 Lodz, Poland. 2. Voivodeship Rehabilitation Hospital for Children in Ameryka, 11-015 Olsztynek, Poland. 3. Faculty of Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland. 4. Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden. 5. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden. 6. Department of Molecular and Clinical Medicine, Sahlgrenska Academy, 41685 Gothenburg, Sweden. 7. Institute of Neuroscience and Physiology, University of Gothenburg, 40530 Gothenburg, Sweden. 8. Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain. 9. IKERBASQUE Basque Foundation for Science, 48009 Bilbao, Spain.
Abstract
BACKGROUND: Person-Centered Care (PCC) is a promising approach towards improved quality of care and cost containment within health systems. It has been evaluated in Sweden and England. This feasibility study examines initial PCC implementation in a rehabilitation hospital for children in Poland. METHODS: The WE-CARE Roadmap of enablers was used to guide implementation of PCC for patients with moderate scoliosis. A multi-disciplinary team of professionals were trained in the PCC approach and the hospital Information Technology (IT) system was modified to enhance PCC data capture. Semi-structured interviews were conducted with the nine health care professionals involved in the pilot study and three patients/parents receiving care. Transcribed data were analyzed via content analysis. RESULTS: 51 patients and their families were treated via a PCC approach. High proportions of new PCC data fields were completed by the professionals. The professionals were able to implement the three core PCC routines and perceived benefits using the PCC approach. Patients and their families also perceived improved quality care. The WE-CARE framework enablers facilitated PCC implementation in this setting. CONCLUSIONS: This feasibility pilot study indicates that the Gothenburg PCC approach can be successfully transferred to a rehabilitation hospital in Poland with favorable perceptions of implementation by both professionals and patients/their families.
BACKGROUND: Person-Centered Care (PCC) is a promising approach towards improved quality of care and cost containment within health systems. It has been evaluated in Sweden and England. This feasibility study examines initial PCC implementation in a rehabilitation hospital for children in Poland. METHODS: The WE-CARE Roadmap of enablers was used to guide implementation of PCC for patients with moderate scoliosis. A multi-disciplinary team of professionals were trained in the PCC approach and the hospital Information Technology (IT) system was modified to enhance PCC data capture. Semi-structured interviews were conducted with the nine health care professionals involved in the pilot study and three patients/parents receiving care. Transcribed data were analyzed via content analysis. RESULTS: 51 patients and their families were treated via a PCC approach. High proportions of new PCC data fields were completed by the professionals. The professionals were able to implement the three core PCC routines and perceived benefits using the PCC approach. Patients and their families also perceived improved quality care. The WE-CARE framework enablers facilitated PCC implementation in this setting. CONCLUSIONS: This feasibility pilot study indicates that the Gothenburg PCC approach can be successfully transferred to a rehabilitation hospital in Poland with favorable perceptions of implementation by both professionals and patients/their families.
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