Hughes Julian C, Bamford Claire, May Carl
Northumbria Healthcare NHS Foundation Trust and the Institute for Ageing and Health, Newcastle University, Newcastle upon Tyne, UK.
Med Health Care Philos. 2008 Dec;11(4):455-63. doi: 10.1007/s11019-008-9131-5. Epub 2008 Apr 9.
For a variety of sociological reasons, different types of centredness have become important in health and social care. In trying to characterize one type of centredness, we were led to consider, at a conceptual level, the importance of the notion of centredness in general and the reasons for there being different types of centeredness.
We searched the literature for papers on client-, family-, patient-, person- and relationship- centred care. We identified reviews or papers that defined or discussed the notions at a conceptual level. The reviews and papers were analyzed as text transcripts.
We identified 10 themes that were common to all the types of centredness. At a conceptual level we could not identify thematic differences between the types of centredness. These findings were subjected to a philosophical critique using ideas derived from Wittgenstein.
Different types of centredness are required in different contexts. The differences are justified by their practical utility. The unifying themes of centredness, however, reflect a movement in favour of increasing the social, psychological, cultural and ethical sensitivity of our human encounters.
由于多种社会学原因，不同类型的以……为中心在健康和社会护理中变得重要起来。在试图描述一种以……为中心的类型时，我们在概念层面上被引导去思考以……为中心这一概念的重要性以及存在不同类型以……为中心的原因。
我们在文献中搜索关于以客户、家庭、患者、个人和关系为中心的护理的论文。我们确定了在概念层面上定义或讨论这些概念的综述或论文。这些综述和论文被作为文本记录进行分析。
我们确定了所有类型以……为中心共有的10个主题。在概念层面上，我们无法确定不同类型以……为中心之间的主题差异。这些发现运用源自维特根斯坦的观点进行了哲学批判。
在不同背景下需要不同类型的以……为中心。这些差异因其实际效用而合理。然而，以……为中心的统一主题反映了一种有利于提高我们人际互动中的社会、心理、文化和伦理敏感性的趋势。
