This question has been asked, and
answered by multiple experts, in multiple ways1-3. It may be safe to
say, in fact, that just as there are 8 billion inhabitants on earth, there may
be 8 billion answers to this question. A standard definition of person-centered
care, however, continues to be quoted in literature. The Institute of Medicine
(IOM), Washington DC, USA defines person-centered care as care that is
respectful of, and responsive to, the preferences, needs and values of the
individual, and is guided by his or her values4.
The word ‘care’ itself, can be used as a noun,
or as a verb. ‘Careful’ is an adjective, which can be used to describe the
quality of caring, or of care. The word ‘person’ refers to the individual who
interacts with the health care system, in an effort to promote health, prevent
disease, or placate illness.
In this perspective piece, we utilize the
preceptive platform of our journal to decipher and describe the peculiar,
poly-faceted properties of person-centered care.
Person-centered care, we feel, is much more than
a mere provision of care, or even a process of health management. Person-centered
care is a philosophy, which must be incorporated and internalized; a pedagogy,
which must be taught and shared, and a partnership, which must be established
and nurtured. It is a practical and prudent praxis, which ensures optimal
prevention of disease at all levels, and allows positive payback or pay off in
the form of health.
Person-centered care is a perception as well,
for all stakeholders involved in health care, including the person, their peers
and caregivers, the public at large, physicians and other health care
providers.
Not only this, person-centered care contributes
to the personal evolution and growth of
the health care professional. It professes patience, persistence, and perseverance, while promoting passion and prurience for our profession. It acts as a protective shield, not only against potential professional mishaps such as litigation, but
also against possible psychosocial burnout. In a nutshell, person-centered care is a proactive method of preserving and promoting one’s own personal as well as professional health.
Person-centered care
is a proceeding in perpetuity, which works as a
virtuous chain or cycle of excellence. Enhanced experience and expertise
contribute to personality development of engaged personnel. Provision of person-centered
care, therefore, should be part and parcel of all health care policy making,
planning, and preparation. Table 1 proposes a panorama of person-centered care,
which puts all our discussion as a precis.
Table 1. The Person-Centered Care Panorama
|
·
Person-centered care is a
·
Philosophy and part of pedagogy
·
Partnership between people and
professionals
·
Prudent and proactive
practice
·
Pragmatic and practical
prescription
·
Preventive and promotive
process for health
·
Positive payback or pay off
·
Psychosocial protective shield
·
Personality developer, promoting passion, and prurience
·
Platform for patience and
perseverance
·
Perception of people and
professionals
·
Part & parcel of policy
making and planning
·
Proceeding
in perpetuity
|
We understand that every publication is viewed
in a person-centered manner by those who read it. Some may consider this
poetry; others may label it as prosaic. Our purpose, however, is to stimulate
our readers to explore the wide universe of person-centered care, and widen
their horizons. This will ensure meaningful growth, not only for the persons
and public we care for, but also for us, and for the profession we love so
much.
1.
Kalra S, Megallaa MH, Jawad F. Perspectives on patient-centered care in diabetology. J Midlife Health. 2012;3(2):93-6.
2.
Miles A, Mezzich JE. The patient, the illness, the doctor, the decision: negotiating a ‘new way ‘through person-centered medicine. IJPCM. 2011;1(4):637-40.
3.
Santana MJ, Manalili K, Jolley RJ, Zelinsky S, Quan H, Lu M. How to practice person-centred care: a conceptual framework. Health Expectat. 2018;21(2):429-40.
4.
Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm:
A New Health System for the 21st Century. Washington (DC): National Academies Press (US); 2001.