Person-centred rhetoric in chronic care: a review of health policies
Autor: | Amy Louise Byrne, Agnieszka Sobolewska, David Heard, Adele Baldwin, Sandy Mclellan, Clare Harvey, Eileen Willis |
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Rok vydání: | 2020 |
Předmět: |
Attitude of Health Personnel
media_common.quotation_subject Public policy 03 medical and health sciences 0302 clinical medicine Empirical research State (polity) Political agenda Political science Patient-Centered Care Health care Humans 030212 general & internal medicine media_common Chronic care Government business.industry 030503 health policy & services Health Policy Australia Public relations Rhetoric Chronic Disease Business Management and Accounting (miscellaneous) Queensland 0305 other medical science business |
Zdroj: | Journal of health organization and managementReferences. |
ISSN: | 1758-7247 |
Popis: | PurposeThe purpose of the paper is to explore how the national, state and organisational health policies in Australia support the implementation of person-centred care in managing chronic care conditions.Design/methodology/approachA qualitative content analysis was performed regarding the national, state and organisational Queensland Health policies using Elo and Kyngas' (2008) framework.FindingsAlthough the person-centred care as an approach is well articulated in health policies, there is still no definitive measure or approach to embedding it into operational services. Complex funding structures and competing priorities of the governments and the health organisations carry the risk that person-centred care as an approach gets lost in translation. Three themes emerged: the patient versus the government; health care delivery versus the political agenda; and health care organisational processes versus the patient.Research limitations/implicationsGiven that person-centred care is the recommended approach for responding to chronic health conditions, further empirical research is required to evaluate how programs designed to deliver person-centred care achieve that objective in practice.Practical implicationsThis research highlights the complex environment in which the person-centred approach is implemented. Short-term programmes created specifically to focus on person-centred care require the right organisational infrastructure, support and direction. This review demonstrates the need for alignment of policies related to chronic disease management at the broader organisational level.Originality/valueGiven the introduction of the nurse navigator program to take up a person-centred care approach, the review of the recent policies was undertaken to understand how they support this initiative. |
Databáze: | OpenAIRE |
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