Person-Centered Care: Perspectives of free dental clinic users in Montréal, Canada

There has been a relatively slow incorporation of person-centered care into dental care. Despite the efforts to sustain this approach in dental health care delivery, the perspectives of patients have yet to be considered, especially those using free dental clinics. Our objectives were: (1) to describe the perspectives of adults unable to access private dental clinics when using free dental clinics, (2) to document their suggestions for improvements to dental care. This qualitative descriptive study included 13 adults using a free dental clinic. To select participants, we adopted a maximum variation sampling strategy regarding age, sex, marital status, education level and employment status. We used in-depth, semi-structured interviews to collect data and thematic content analysis to analyze the verbatim transcripts. Participants were generally satisfied with the dental care they received in private and free dental clinics. However, they did not appreciate the long wait times at free clinics, and were bothered by the cost at private clinics. They emphasized a desire for quality time with the dentist allowing for more informed and shared decisions about their care, regardless of the clinic they visited. Participants want to feel cared for through a trustworthy relationship with the clinician, and suggested incorporating a walk-in concept into free clinics to address access to care. Adults using free dental clinics have various experiences with private and public dentistry, but they all need clinicians who adopt a comprehensive approach when providing information. This could improve patients’experiences through a more person-centered approach to dental care.

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Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052205 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2205

Author(s):

Roman A. Lewandowski ◽

Jędrzej B. Lewandowski ◽

Inger Ekman ◽

Karl Swedberg ◽

Jan Törnell ◽

...

Keyword(s):

Pilot Study ◽

Feasibility Study ◽

Health Care Professionals ◽

Quality Care ◽

Structured Interviews ◽

Rehabilitation Hospital ◽

Person Centered Care ◽

Centered Care ◽

Multi Disciplinary Team

Background: 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. Methods: 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. Results: 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. Conclusions: 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.

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Person-Centered Care Delivery Interventions Overcome Cancer Screening Disparities

Default Digital Object Group ◽

10.1200/adn.21.200715 ◽

2021 ◽

Keyword(s):

Cancer Screening ◽

Care Delivery ◽

Person Centered Care ◽

Centered Care ◽

Cancer Screening Disparities

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Pervasive Risk Avoidance: Nursing Staff Perceptions of Risk in Person-Centered Care Delivery

The Gerontologist ◽

10.1093/geront/gnaa099 ◽

2020 ◽

Vol 60 (8) ◽

pp. 1424-1435

Author(s):

Liza L Behrens ◽

Marie Boltz ◽

Ann Kolanowski ◽

Mark Sciegaj ◽

Caroline Madrigal ◽

...

Keyword(s):

Nursing Staff ◽

Care Delivery ◽

Health And Safety ◽

Direct Care ◽

Risk Avoidance ◽

Staff Perceptions ◽

Major Barrier ◽

Perceptions Of Risk ◽

Person Centered Care ◽

Centered Care

Abstract Background and Objectives Nursing home (NH) staff perceptions of risks to residents’ health and safety are a major barrier to honoring resident preferences, the cornerstone of person-centered care (PCC) delivery. This study explored direct-care nursing staff perceptions of risk (possibilities for harm or loss) associated with honoring residents’ preferences for everyday living and care activities. Research Design and Methods Qualitative, descriptive design using sequential focus group (FG) methodology. Results Participants (N = 27) were mostly female (85%), had more than 3 years of experience (74%), and worked in NHs recently experiencing 6–12 health citations. Content analysis of 12 sequential FGs indicated nursing staff perceptions of risks may impede delivery of person-centered care. This is supported by the overarching theme: pervasive risk avoidance; and subthemes of: staff values, supports for risk-taking, and challenges to honoring preferences. Discussion and Implications Development of a multidimensional framework with specific risk engagement measures that account for the unique risk perspectives of nursing staff will contribute significantly to the clinical management of older adult preferences and research on the effectiveness of preference-based PCC delivery in the NH setting.

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Digital tools as promoters for person-centered care practices in chronic care? Healthcare professionals’ experiences from rheumatology care

BMC Health Services Research ◽

10.1186/s12913-020-05945-5 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Emma Granström ◽

Carolina Wannheden ◽

Mats Brommels ◽

Helena Hvitfeldt ◽

Monica E. Nyström

Keyword(s):

Chronic Care ◽

Healthcare Professionals ◽

Single Case ◽

Digital Tools ◽

Work Practices ◽

Structured Interviews ◽

Person Centered Care ◽

Centered Care ◽

Care Practices ◽

Perceived Impact

Abstract Background Person-centered care (PCC) emphasize the importance of supporting individuals’ involvement in care provided and self-care. PCC has become more important in chronic care as the number of people living with chronic conditions is increasing due to the demographic changes. Digital tools have potential to support interaction between patients and healthcare providers, but empirical examples of how to achieve PCC in chronic care and the role of digital tools in this process is limited. The aim of this study was to investigate strategies to achieve PCC used by the healthcare professionals at an outpatient Rheumatology clinic (RC), the strategies’ relation to digital tools, and the perceived impact of the strategies on healthcare professionals and patients. Methods A single case study design was used. The qualitative data consisted of 14 semi-structured interviews and staff meeting minutes, covering the time period 2017–2019. The data were analyzed using conventional content analysis, complemented with document analyses. Results Ten strategies on two levels to operationalize PCC, and three categories of perceived impact were identified. On the individual patient level strategies involved several digital tools focusing on flexible access to care, mutual information sharing and the distribution of initiatives, tasks, and responsibilities from provider to patients. On the unit level, strategies concerned involving patient representatives and individual patients in development of digital services and work practices. The roles of both professionals and patients were affected and the importance of behavioral and cultural change became clear. Conclusions By providing an empirical example from chronic care the study contributes to the knowledge on strategies for achieving PCC, how digital tools and work practices interact, and how they can affect healthcare staff, patients and the unit. A conclusion is that the use of the digital tools, spanning over different dimensions of engagement, facilitated the healthcare professionals’ interaction with patients and the patients’ involvement in their own care. Digital tools complemented, rather than replaced, care practices.

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Person-centered peritoneal dialysis prescription and the role of shared decision-making

Peritoneal Dialysis International ◽

10.1177/0896860819893803 ◽

2020 ◽

Vol 40 (3) ◽

pp. 302-309 ◽

Cited By ~ 4

Author(s):

Peter G Blake ◽

Edwina A Brown

Keyword(s):

Decision Making ◽

Peritoneal Dialysis ◽

Shared Decision Making ◽

Care Delivery ◽

Shared Decision ◽

Person Centered Care ◽

Modern Health Care ◽

Patient Reported ◽

Centered Care ◽

End Stage

Person-centered care has become a dominant paradigm in modern health care. It needs to be applied to people with end-stage kidney disease considering the initiation of dialysis and to peritoneal dialysis (PD) prescription and care delivery. It is relevant to their decisions about goals of care, transplantation, palliative care, and discontinuation of dialysis. It is also relevant to decisions about how PD is delivered, including options such as incremental PD. Shared decision-making is the essence of this process and needs to become a standard principle of care. It requires engagement, education, and empowerment of patients. Patient-reported outcomes and patient-reported experience are also central to person-centered care in PD.

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Dental Service Utilization of a Rural Population in Nigeria

International Journal of Dentistry Research ◽

10.31254/dentistry.2019.4206 ◽

2019 ◽

Vol 4 (2) ◽

pp. 62-65

Author(s):

O.O Osadolor ◽

◽

E.A Akaji ◽

U Otakhoigbogie ◽

H.C Amuta ◽

...

Keyword(s):

Service Utilization ◽

Dental Care ◽

Rural Population ◽

Household Income ◽

Dental Health ◽

Health Centre ◽

Dental Service ◽

Dental Clinic ◽

Dental Services ◽

Socio Demographic Factors

Background: Dental health is often neglected by a vast majority of the population and has contributed to the global burden of oral diseases. Prevention of disease, disability and suffering should be a primary goal of any society that hopes to provide a decent quality of life for its people. Dental care/service utilization is an indispensable facilitator of oral health, as dental caries and gingivitis are preventable with regular access to preventive dental services. Several reasons have been attributed to use and non-use of dental services and include socio-demographic factors such as age, sex, educational attainment, and household income. Objective: To determine dental service utilization of a rural population in South-east Nigeria. Methodology: A cross sectional study of 268 participants was carried out at Ozalla Model Primary Health Centre, Ozalla Health Centre and Umueze Awkunanaw Health Centre located in Ozalla community and Umueze Awkunanaw community respectively. Ethical clearance for this study was sought and obtained. Permission was sought from the head of each health centre, while individual verbal consent was obtained from the respondents before giving out the pretested questionnaire which was interviewer-administered. Data was analysed using Statistical Package for Social Sciences (SPSS) Version 20. Results: 126(47 %) males and 142(53%) females were seen. The age of the participants ranged from 18 - 86 years with a mean age of 32.4 ± 13.3 years. 131(48.9%) were married, 133(49.6%) were single and 4(1.5%) were divorced. 39(14.6%) had only primary level of education, 142(52.6%) secondary, 67(25.0%) tertiary and 21(7.8%) had no formal education. 64(23.9%) had utilized dental service, while 204(76.1%) had not visited a dental clinic (had not utilized dental service). The common reason for dental service utilization was dental pain. The predominant occupation was farming and small scale business/trading. P= 0.038. Conclusion: Dental health was neglected by a vast majority of the participants, The poor utilization of dental service by the respondents could be due to poor awareness, absence of dental insurance, financial constraints , lack of perceived need for dental care, economic difficulties ,socio-demographic factors such as age, sex, educational attainment, and household income. Effort needs to be applied to create better awareness and possibly increase dental clinic attendance. Emphasis should be placed on benefits of utilizing preventive dental services rather than only curative through dental awareness programms.

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Tingkat Pemahaman Ibu Pada Perawatan gigi anak Pada Komunitas Kelompok Mom and Me RS Islam Surabaya

To Maega | Jurnal Pengabdian Masyarakat ◽

10.35914/tomaega.v4i3.818 ◽

2021 ◽

Vol 4 (3) ◽

pp. 263

Author(s):

Evy Afiyah Syagran ◽

Budhi Setianto ◽

Agus Aan Adriansyah ◽

Akas Yekti Pulih Asih ◽

Difran Nobel Bistara ◽

...

Keyword(s):

Early Childhood ◽

Community Service ◽

Dental Care ◽

Dental Health ◽

Educational Materials ◽

Dental Clinic ◽

Childhood Experience ◽

Mothers And Fathers ◽

Early Childhood Experience ◽

Educational Videos

AbstrakBerdasarkan data Riskesdas 2018, menunjukan 93% anak usia dini mengalami gigi berlubang. Beberapa penelitian menujukkan pentingnya pemahaman orang tua terhadap pengetahuan tentang perawatan gigi pada anak. Pengabdian masyaakat ini (1) Membuat leaflet terkait perawatan gigi anak sebagai bahan edukasi kepada masyarakat, (2) Menyelenggarakan kuliah Whatsup Grup (WAG) tentang perawatan gigi anak, (3) Membuat video edukasi terkait perawatan gigi anak sebagai bahan edukasi kepada masyarakat, (4) Melakukan edukasi melalui Youtube Chanel tentang perawatan gigi anak.dari pelaksanaan dapat disimpulkan Leaflet yang sudah dibuat sangat memberikan manfaat kepada semua pengunjung poli gigi RS Islam Surabaya meningkatkan pengetahuan para ibu untuk pentingnya menjaga kesehatan gigi anak. Kuliah WAG yang diadakan mampu meningkatkan pengetahuan ibu dan ayah peserta dengan kenaikan pengetahuan sebesar 23,71 %. Bagi ayah / ibu yang belum berkesempatan mengikuti kuliah WAG bisa berkesempatan untuk melihat youtube chanel RS Islam Surabaya dengan tema tingkat pemahaman ibu terhadap pemahaman perawatan kesehatan gigi anak.Kata Kunci: Kesehatan gigi anak, Whatsup Grup, Leaflet, Youtube ChanelAbstractBased on data from Riskesdas 93% of early childhood experience cavities. Several studies have shown the importance of parental understanding of knowledge about dental care in children. This community service (1) makes leaflets related to children's dental care as educational materials for the community, (2) organizes Whatsup Group (WAG) lectures on children's dental care, (3) makes educational videos related to children's dental care as educational materials for the community, ( 4) Conducting education through the Youtube Chanel about children's dental care. From the implementation, it can be concluded that the leaflets that have been made are very beneficial to all visitors to the dental clinic of the Surabaya Islamic Hospital, increasing the knowledge of mothers about the importance of maintaining children's dental health. The WAG lectures that were held were able to increase the knowledge of the participants' mothers and fathers with an increase in knowledge of 23.71%. For fathers/mothers who have not had the opportunity to attend WAG lectures, you can have the opportunity to watch the YouTube channel of the Surabaya Islamic Hospital with the theme of the level of mother's understanding of the understanding of children's dental health care.Key Word: Children's dental health, Whatsup Group, Leaflet, Youtube Chanel

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Oncologists' attitudes towards patient and family-centered care.

Journal of Clinical Oncology ◽

10.1200/jco.2015.33.29_suppl.111 ◽

2015 ◽

Vol 33 (29_suppl) ◽

pp. 111-111

Author(s):

Timothy K. Nguyen ◽

Glenn Bauman ◽

Christoper J Watling ◽

Karin Hahn

Keyword(s):

Patient Autonomy ◽

Care Delivery ◽

Family Centered Care ◽

Structured Interviews ◽

Roles And Responsibilities ◽

Continued Education ◽

Creative Solutions ◽

Centered Care ◽

Physician Support ◽

Family Centered

111 Background: Patient and family-centered care (PFCC) represents an evolution from traditional models of provider-focused and patient-focused care that places a strong emphasis on optimal patient communication, patient autonomy, and shared decision-making within care teams. A shift towards PFCC requires participation across all provider groups. Despite the importance of physician buy-in, research examining physicians’ perspectives on PFCC is lacking. We sought to explore oncologists’ familiarity with the principles of PFCC and perceived barriers to implementing principles of PFCC. Methods: In this qualitative exploratory study, we conducted semi-structured interviews with 18 oncologists (8 radiation, 4 medical, 4 surgical, 2 hematologist-oncologists) at a single Canadian academic cancer institution. Interview data were analyzed using coding principles drawn from grounded theory. Constant comparisons were used to identify recurring themes. Results: We identified 3 dominant themes related to physicians’ interpretations of PFCC: 1) Physicians expressed a limited understanding of the formal principles of PFCC, 2) Physicians identified patient autonomy as essential to PFCC and 3) Disparities between patient and physician objectives exist and result in compromises that may affect the quality of PFCC delivered. Oncologists perceived that spending more time with patients improved PFCC, but also recognized that it would leave less time for other necessary activities. Participants also identified a number of ‘system’ barriers to PFCC, including limited staff and clinical space, excessive case load, a lack of physician support and input into operational decisions, and funding constraints. Many felt that PFCC was challenged by inefficiencies in the system of care delivery, and that progress might lie in reorganization to more clearly match health care staff’s roles and responsibilities to their credentials and skills. Conclusions: Advancing PFCC in our institution will require continued education of physicians regarding the principles of PFCC, acknowledgement and preservation of the PFCC behaviors already in practice and creative solutions to address the system issues that may hamper their abilities to enact PFCC.

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Risky Preferences: Nursing Staff Perceptions of Risks May Impede Delivery of Person-Centered Care

Innovation in Aging ◽

10.1093/geroni/igaa057.3065 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 837-837

Author(s):

Liza Behrens ◽

Kimberly Van Haitsma ◽

Ann Kolanowski ◽

Marie Boltz ◽

Mark Sciegaj ◽

...

Keyword(s):

Nursing Staff ◽

Care Delivery ◽

Health And Safety ◽

Direct Care ◽

Measurement Development ◽

Future Research ◽

Staff Perceptions ◽

Major Barrier ◽

Person Centered Care ◽

Centered Care

Abstract Nursing home (NH) staff perceptions of risks to residents’ health and safety is a major barrier to honoring resident preferences, the cornerstone of person-centered care delivery. This study examined direct-care nursing staff perceptions of risk (possibilities for harm or loss) associated with honoring residents’ preferences for everyday living and care activities. Participants (N=27) were mostly female (85%), had more than 3 years of experience (74%), and worked in NHs experiencing 6-12 health citations. Content analysis of 12 focus groups indicated nursing staff perceptions of risks may impede delivery of PCC. This is supported by the overarching theme: pervasive risk avoidance; and sub-themes of: staff values, supports for risk-taking, and challenges to honoring preferences. Findings will be discussed considering a newly modified risk engagement framework meant to understand and inform the clinical management of older adult preferences perceived to carry risks. Opportunities for future research will be discussed (e.g. measurement development). Part of a symposium sponsored by the Research in Quality of Care Interest Group.

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