Rabah Rim A, Kosremelli Asmar Michele, Bou-Orm Ibrahim R
Higher Institute of Public Health, Faculty of Medicine, Saint Joseph University of Beirut, Campus of Medical Sciences Damascus Road, PO BOX 11-5076 - Riad el Solh, Beirut, 11072180, Lebanon.
BMC Health Serv Res. 2025 Aug 28;25(1):1147. doi: 10.1186/s12913-025-13324-1.
Person-Centred Care (PCC) is a global health approach, developed in the 1940s, that emphasizes respect for and attention to individual preferences, needs, and values. PCC represents a shift from provider-centred models to a care approach focused on improving the quality of life of individuals based on their specific needs and priorities. This study aims to investigate the perspectives and experiences of experts and directors of urban Primary Healthcare (PHC) Centres regarding PCC implementation in Lebanon.
The study used a mixed-methods approach, involving semi-structured interviews with 13 experts and 4 PHC directors from centres in the Greater Beirut area, and a short assessment survey filled by directors. The study focused on six key components of the PCC framework: respecting the individual, treating patients with dignity, understanding their experiences, ensuring confidentiality, delegating responsibilities, and coordinating care.
The study findings reveal both progress and challenges in implementing PCC within the Lebanese PHC system. While significant steps have been made in some accredited urban centres, particularly in the Greater Beirut area, where directors reported initiatives towards more personalized care, challenges at national level remain. These include the absence of standardized guidelines, insufficient staff training, and systemic barriers such as inadequate infrastructure and cultural resistance. Nevertheless, experts and directors expressed strong support for transitioning to a value-based care model that emphasizes beneficiary outcomes. The study also highlighted the importance of fostering supportive relationships and empowering beneficiaries to enhance PCC delivery.
Effective implementation of PCC in Lebanon’s PHC centres requires substantial structural reforms, including the development of standardized guidelines, enhanced training programs, and improved coordination among care providers. By integrating these strategies into the broader health system, Lebanon can move closer to a model of care that prioritizes individual needs, improves care quality, and aligns with global best practices.
The online version contains supplementary material available at 10.1186/s12913-025-13324-1.
以患者为中心的护理（PCC）是一种20世纪40年代发展起来的全球健康方法，强调尊重和关注个人偏好、需求及价值观。PCC代表了从以提供者为中心的模式向基于个人特定需求和优先事项来改善其生活质量的护理方法的转变。本研究旨在调查黎巴嫩城市初级医疗保健（PHC）中心的专家和主任对PCC实施情况的看法和经验。
该研究采用混合方法，包括对大贝鲁特地区各中心的13名专家和4名PHC主任进行半结构化访谈，以及由主任填写的简短评估调查。该研究聚焦于PCC框架的六个关键组成部分：尊重个人、以尊严对待患者、理解他们的经历、确保保密、分配责任以及协调护理。
研究结果揭示了黎巴嫩初级医疗保健系统在实施PCC方面的进展和挑战。虽然在一些经认可的城市中心，特别是大贝鲁特地区，已经取得了重大进展，主任们报告了朝着更个性化护理的举措，但国家层面的挑战依然存在。这些挑战包括缺乏标准化指南、工作人员培训不足以及诸如基础设施不足和文化阻力等系统性障碍。尽管如此，专家和主任们对向强调受益结果的基于价值的护理模式转变表示大力支持。该研究还强调了建立支持性关系和赋予受益者权力以加强PCC提供的重要性。
在黎巴嫩的初级医疗保健中心有效实施PCC需要进行重大的结构改革，包括制定标准化指南、加强培训计划以及改善护理提供者之间的协调。通过将这些策略纳入更广泛的卫生系统，黎巴嫩可以更接近一种优先考虑个人需求、提高护理质量并符合全球最佳实践的护理模式。
在线版本包含可在10.1186/s12913 - 025 - 13324 - 1获取的补充材料。
