Patient centred care: from theory to practice

The movement towards person-centred care has been gathering pace over the past two decades. The global quality body ISQua has published a new white paper, Person Centred Care Systems: From theory to practice, which encourages making person-centred care a core element in healthcare systems worldwide.

ISQua believes that person centredness is an important aspect of safe, quality healthcare.  It has made person-centred care (PCC) a priority in educational content, online and in-person events and through partnerships and collaborations.

The global body argues that to make PCC an expected standard of care, there will need to be systematically redesigned legislation, organisation, funding, information systems, education, and research.

The publication aims to answer the most difficult question: how to embed PCC into systems?

Modern medicine achieves outstanding results and is a huge success. However, both patients and health professionals have repeatedly voiced a vital concern: health care is currently not paying sufficient respect to the individuality and human dignity of persons who seek help from care systems. PCC calls for a stronger focus on and collaboration with people seeking care.

PCC care is a sharing of power to ensure that the answer to: “What matters to you?” drives care decisions. Patients and professionals work together, within the constraints set by the care system, in a care process to achieve goals that are meaningful to the person.

The aim is to design PCC into systems so that PCC is the logical choice and is expected and rewarded.

The general principles that lead to success will need to be tailored to local contexts, considering local culture, traditions, history, resources, and current practices.

ISQua believes the current profession-centric care system was built with the best of intentions, but to reform care systems, all must build on its strengths, keep the professionalism, but redirect its goal. The rewards are improvements in all the quadruple aims: Improved patient experience, improved health and function, improved cost-benefit, and improved professional experience.