After debating among colleagues at the hospital's medical staff about the excellent article published by Ellen Nolte in The BMJ on implementing person centred approaches, we wanted to share our thoughts on the subject.
Person-centered care is a term frequently used in recent years in relation to care services for people in a situation of dependency, as in patients or users of health services.
There is a strong tendency to interpret it in different ways, depending on the people or the contexts. For some it means individualized attention and quality, for others it is a base of values. In any case, applying centered attention to the person implies recognizing the uniqueness of the person and fixing the gaze on their capacities in relation to that which makes them dependent, supporting their self-determination. For several decades it has been recognized as one of the axes that must be present in quality care; it is not always clear what it means and implies in terms of the concept and organization of care.
As a model of care, the idea emphasizes that care centered on the person is a professionalized model that seeks to care for people who can continue to have control in their environment, in their care and in their daily lives, developing their abilities and feeling good. It is a model that seeks to increase the quality of care from dimensions related to the quality of life.
People-centered care moves away from traditional care models where care is determined by uniform procedures derived from needs associated with disease classifications and degrees of dependency and by organizational constraints (what has sometimes been termed as models of focused care in services).
To make effective this model implies having an integral vision of people and recognition of its value and singularity and which looks at the capacities, rather than the deficits, and supports the self-determination of individuals. Direct care professionals, in addition to protecting people and attending to their diverse needs, relate to the knowledge of their life histories looking for opportunities and supports so that each person can develop their capacities, have control over their daily lives and consequently feel better.
Person Centered Care is a model that has an approach with a high capacity to improve the quality of services and guide good professional practice.
References
1. Santos Peña Moisés. Conferencia: La atención centrada en la persona en una red de servicios de salud. Simposio Responsabilidad del Hospital en la Red Integrada de Servicios de Salud. Convención GAL 2017. Cienfuegos, Cuba, marzo 2017. https://www.gal.sld.cu.
2. Rodríguez Rodríguez Teresa. Simposio: Humanización hospitalaria. Convención GAL 2017. Cienfuegos, Cuba, marzo 2017. https://www.gal.sld.cu.
3. Martínez Rodríguez Teresa et al. Modelo de atención centrada en la persona. Presentación de cuadernos práctico. Madrid, 2015. Informes Envejecimiento en red, nº 12.
4. Santos Peña Moisés. Simposio eficiencia de una red de servicios de salud. Simposio Responsabilidad del Hospital en la Red Integrada de Servicios de Salud. Convención GAL 2017. Cienfuegos, Cuba, marzo 2017. https://www.gal.sld.cu.
Competing interests:
No competing interests
30 September 2017
Moises A. Santos-Peña
Vice Director
Yoany Ojeda-Treto, Lizette Perez-Perea
Gustavo Aldereguia University General Hospital
Ave 5 de Septiembre and 51-A street. Cienfuegos city. Cuba 55100
Rapid Response:
Model of care centered on the person
After debating among colleagues at the hospital's medical staff about the excellent article published by Ellen Nolte in The BMJ on implementing person centred approaches, we wanted to share our thoughts on the subject.
Person-centered care is a term frequently used in recent years in relation to care services for people in a situation of dependency, as in patients or users of health services.
There is a strong tendency to interpret it in different ways, depending on the people or the contexts. For some it means individualized attention and quality, for others it is a base of values. In any case, applying centered attention to the person implies recognizing the uniqueness of the person and fixing the gaze on their capacities in relation to that which makes them dependent, supporting their self-determination. For several decades it has been recognized as one of the axes that must be present in quality care; it is not always clear what it means and implies in terms of the concept and organization of care.
As a model of care, the idea emphasizes that care centered on the person is a professionalized model that seeks to care for people who can continue to have control in their environment, in their care and in their daily lives, developing their abilities and feeling good. It is a model that seeks to increase the quality of care from dimensions related to the quality of life.
People-centered care moves away from traditional care models where care is determined by uniform procedures derived from needs associated with disease classifications and degrees of dependency and by organizational constraints (what has sometimes been termed as models of focused care in services).
To make effective this model implies having an integral vision of people and recognition of its value and singularity and which looks at the capacities, rather than the deficits, and supports the self-determination of individuals. Direct care professionals, in addition to protecting people and attending to their diverse needs, relate to the knowledge of their life histories looking for opportunities and supports so that each person can develop their capacities, have control over their daily lives and consequently feel better.
Person Centered Care is a model that has an approach with a high capacity to improve the quality of services and guide good professional practice.
References
1. Santos Peña Moisés. Conferencia: La atención centrada en la persona en una red de servicios de salud. Simposio Responsabilidad del Hospital en la Red Integrada de Servicios de Salud. Convención GAL 2017. Cienfuegos, Cuba, marzo 2017. https://www.gal.sld.cu.
2. Rodríguez Rodríguez Teresa. Simposio: Humanización hospitalaria. Convención GAL 2017. Cienfuegos, Cuba, marzo 2017. https://www.gal.sld.cu.
3. Martínez Rodríguez Teresa et al. Modelo de atención centrada en la persona. Presentación de cuadernos práctico. Madrid, 2015. Informes Envejecimiento en red, nº 12.
4. Santos Peña Moisés. Simposio eficiencia de una red de servicios de salud. Simposio Responsabilidad del Hospital en la Red Integrada de Servicios de Salud. Convención GAL 2017. Cienfuegos, Cuba, marzo 2017. https://www.gal.sld.cu.
Competing interests: No competing interests