Management Faculty, University of Social Sciences, 90-113 Lodz, Poland.
Voivodeship Rehabilitation Hospital for Children in Ameryka, 11-015 Olsztynek, Poland.
Int J Environ Res Public Health. 2021 Feb 24;18(5):2205. doi: 10.3390/ijerph18052205.
Person-Centered Care (PCC) is a promising approach towards improved quality of care and cost containment within health systems. It has been evaluated in Sweden and England. This feasibility study examines initial PCC implementation in a rehabilitation hospital for children in Poland.
The WE-CARE Roadmap of enablers was used to guide implementation of PCC for patients with moderate scoliosis. A multi-disciplinary team of professionals were trained in the PCC approach and the hospital Information Technology (IT) system was modified to enhance PCC data capture. Semi-structured interviews were conducted with the nine health care professionals involved in the pilot study and three patients/parents receiving care. Transcribed data were analyzed via content analysis.
51 patients and their families were treated via a PCC approach. High proportions of new PCC data fields were completed by the professionals. The professionals were able to implement the three core PCC routines and perceived benefits using the PCC approach. Patients and their families also perceived improved quality care. The WE-CARE framework enablers facilitated PCC implementation in this setting.
This feasibility pilot study indicates that the Gothenburg PCC approach can be successfully transferred to a rehabilitation hospital in Poland with favorable perceptions of implementation by both professionals and patients/their families.
以患者为中心的护理（PCC）是一种有前途的方法，可以提高卫生系统的护理质量和控制成本。它已经在瑞典和英国进行了评估。本可行性研究考察了波兰一家儿童康复医院中 PCC 的初步实施情况。
使用 WE-CARE 促进因素路线图来指导中度脊柱侧凸患者的 PCC 实施。对多专业人员团队进行了 PCC 方法培训，并对医院信息技术（IT）系统进行了修改，以增强 PCC 数据采集。对参与试点研究的 9 名医疗保健专业人员和 3 名接受护理的患者/家长进行了半结构化访谈。对转录数据进行了内容分析。
51 名患者及其家属接受了 PCC 治疗。专业人员完成了大量新的 PCC 数据字段。专业人员能够实施三个核心 PCC 例程，并在使用 PCC 方法时感受到了好处。患者及其家属也认为护理质量得到了提高。WE-CARE 框架促进因素促进了该环境中的 PCC 实施。
这项可行性试点研究表明，哥德堡 PCC 方法可以成功地转移到波兰的一家康复医院，专业人员和患者/其家属对实施情况的看法都很好。
