Person-centred rhetoric in chronic care: a review of health policies

被引:5
|
作者
Sobolewska, Agnieszka [1 ]
Byrne, Amy-Louise [2 ]
Harvey, Clare Lynette [3 ]
Willis, Eileen [3 ]
Baldwin, Adele [3 ]
McLellan, Sandy [3 ]
Heard, David [2 ]
机构
[1] Cent Queensland Univ, Brisbane Campus, Brisbane, Qld, Australia
[2] Cent Queensland Univ, Sch Nursing Midwifery & Social Sci, Brisbane, Qld, Australia
[3] Cent Queensland Univ, Sch Nursing Midwifery & Social Sci, Townsville Campus, Mackay, Qld, Australia
关键词
Government policy; Patient-focused care; Nursing; PATIENT; BARRIERS; DISEASE; PEOPLE;
D O I
10.1108/JHOM-04-2019-0078
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose The 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/approach A qualitative content analysis was performed regarding the national, state and organisational Queensland Health policies using Elo and Kyngas' (2008) framework. Findings Although 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. Originality/value Given 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.
引用
收藏
页码:123 / 143
页数:21
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