This bulletin covers person centred health care, and should be of interest to staff working in this area, within acute, community and social care sectors.

Many of the following articles are available online via the NHS Scotland Knowledge Network. Please use the links where provided and your ATHENS login. A complete list of available online journals and registration for ATHENS can be found at http://www.athensregistration.scot.nhs.uk

Critical appraisal is an essential part of evidence-based practice and involves systematically evaluating evidence to establish whether it is valid, accurate and relevant.  For introductory resources, visit the Critical Appraisal Tools pathway.

This bulletin contains a selection of material gathered from a search of the evidence base, and is not intended to be comprehensive. Professional judgment should be exercised when appraising the material. The Library takes no responsibility for the wording, content and accuracy of the information supplied, which has been extracted in good faith from reputable sources. NHSGGC is not responsible for the content of external internet sites.

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Online

NHS Health Improvement, Person-Centred health and Care iHub.  Available here

NHS Forth Valley, Person Centred Health and Care Strategy: revised for 2018-2020.  Available here

Gask, L.  Person-centred care: challanges and changes to the training of psychiatrists. 12 November 2018.  The Mental Elf Available here

RCP policy, person-centred care, Royal College of Physicians Available here

Journal Articles

Eklund, JH., Holmstrom, IK., Kumlin, T., et al (2018) "Same same or different?" A review of reviews of person-centered and patient-centered care. Patient Education and Counseling, 26 August 2018.  While there are a number of similarities between the two concepts, the goals for person-centered and patient-centered care differ.  The similarities are at the surface and there are important differences when the concepts are regarded in light of their different goals.  Full text here

Hall, CC., Lugton, J., Spiller, JA., Carduff, E. (2018) CPR decision making conversations in the UK: an integrative review.  BMJ Supportive & Palliatve Care 14th August.  " The findings of this review are at odds with the current statutory framework and potentially challenging for medical professionals who are working in a stretched health service, with pressure to discuss DNACPR decisions at the earliest opportunity.  With increasing focus on person-centred care and realistic medicine, patient narratives must be considered by doctors and policy makers alike, to minimise harm.  Full text here

Goulding, A., Allerby, K., Ali, L. et al (2018)  BMS Psychiatry 18:269. Study Protocol design and evaluation of a hospital-based multi-professional educational intervention: Person-Centred Psychosis Care (PCPC).  BMC Psychiatry 18:269.  While patient involvement in mental health care is repeatedly stressed in policy documents, there are actually few studies that evaluate person-centred care interventions within psychiatric services.  The authors present the design and planned evaluation of an educational intervention for inpatient staff involved in the care of persons with schizophrenia and similar psychoses.  Full text here

Rijken, M., Schellevis, F. (2018) Idenifying target groups for person-centred integrated care among multi-morbid populations.  European Journal of Public Health 28 (Suppl 4), November 2018.  Among multi-morbid populations, subgroups of high-need patients can be distinguished  based on their medical complexity, illness perceptions and resources (e.g. health literacy, mastery).  These subgroups differ in their needs for care and support, and thus require different integrated care arrangements for instance, horizontal integration of primar care and soical care, and / or vertigal integration of primary and secondary care services.  Full text here

Silvar, A. (2018)  Bridging the gap: person centred, place-based self-managment support.  Future Healthcare Journal 5(3): 188-91.  Placing the person at the centre of their health and care has been a keuy part of health and care policy for nearly 2 decades.  Fundamental to this approach is the role self-management support plays in increasing the confidence, skills and knowledge of a person in managing their health and wellbeing.  This practical review article sets out to explore the historical  context of self-management in England, its current status and the challenges faced in delivering self-managment programmes.  The demand on the health and care system continues to grow and so the need to move to a more holistic system of care with the person at its centre is freater than it has ever been before.  With an increasely fiscally retistricted environment with which to operat, how can commissioners, health specialists and service providers work together to develop integrated pathways of care that provide the right care, at the right time and in the right place. Full text here

Tinelli, M., Petelos, E., Ensini, M. (2018) Developing, promoting and adopting a person-centred research and care (PCRC) framework.  European Journal of Public Health 28 (Suppl 4) November, 2018.  A PCRC frameowork and collaborative and participatory model are required to promote and adopt evidence-informed policymaking and lead to more resilience on person, system and society levels.  Full text here

Wallstrom, S., Inger, E. (2018) Person-centred care in clinical assessment.  European Journal of Cardiovascular Nursing 17(7): 576-579.  Full text here

Wolf, A., Heimann, R., Fors, A. (2018) The impact of a person-centred cardiac care rehabilitation intervention on patient-reported care experience: a randomised controlled trial.  European Heart Journal 39(Suppl1): ehy565.2403 Full text here