دورية أكاديمية
An Evaluation of the Relationship between Training of Health Practitioners in a Person-Centred Care Model and their Person-Centred Attitudes.
العنوان: | An Evaluation of the Relationship between Training of Health Practitioners in a Person-Centred Care Model and their Person-Centred Attitudes. |
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المؤلفون: | Lim ELP; School of Health and Welfare, Jönköping University, Jönköping, Sweden.; Allied Health Division, Singapore General Hospital, Singapore.; Centre for Person-centred Care, Singapore Health Services, Singapore.; Population Health and Integrated Care Office, Singapore General Hospital, Singapore., Ong RHS; Health Services Research, Changi General Hospital, Singapore., Thor J; School of Health and Welfare, Jönköping University, Jönköping, Sweden.; Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, Sweden., Allgurin M; School of Health and Welfare, Jönköping University, Jönköping, Sweden., Gäre BA; School of Health and Welfare, Jönköping University, Jönköping, Sweden.; Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, Sweden.; Futurum, Region Jönköping County, Jönköping, Sweden., Thumboo J; SingHealth Office of Regional Health, Singapore Health Services, Singapore.; SingHealth Centre for Population Health Research and Implementation, Singapore Health Services, Singapore.; Department of Rheumatology and Immunology, Singapore General Hospital, Singapore. |
المصدر: | International journal of integrated care [Int J Integr Care] 2023 Nov 24; Vol. 23 (4), pp. 11. Date of Electronic Publication: 2023 Nov 24 (Print Publication: 2023). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Ubiquity Press Country of Publication: England NLM ID: 101214424 Publication Model: eCollection Cited Medium: Print ISSN: 1568-4156 (Print) NLM ISO Abbreviation: Int J Integr Care Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Publication: <2015- > : London : Ubiquity Press Original Publication: [Utrecht, Netherlands] : Igitur, Utrecht Pub. & Archiving Services, [2000]- |
مستخلص: | Introduction: The Esther Network (EN) person-centred care (PCC) advocacy training aims to promote person-centred attitudes among health practitioners in Singapore. This study aimed to assess the relationship between the training and practitioners' PCC attributes over a 3-month period, and to explore power sharing by examining the PCC dimensions of "caring about the service user as a whole person" and the "sharing of power, control and information". Methods: A repeated-measure study design utilising the Patient-Practitioner Orientation Scale (PPOS), was administered to 437 training participants at three time points - before training (T1), immediately after (T2) and three months after training (T3). A five-statement questionnaire captured knowledge of person-centred care at T1 and T2. An Overall score, Caring and Sharing sub-scores were derived from the PPOS. Scores were ranked and divided into three groups (high, medium and low). Ordinal Generalised Estimating Equation (GEE) model analysed changes in PPOS scores over time. Results: A single, short-term training appeared to result in measurable improvements in person-centredness of health practitioners, with slight attenuation at T3. There was greater tendency to "care" than to "share power" with service users across all three time points, but the degree of improvement was larger for sharing after training. The change in overall person-centred scores varied by sex and profession (females score higher than males, allied health showed a smaller attenuation at T3). Conclusion: Training as a specific intervention, appeared to have potential to increase health practitioners' person-centredness but the aspect of equalising power was harder to achieve within a hierarchical structure and clinician-centric culture. An ongoing network to build relationships, and a supportive system to facilitate individual and organisational reflexivity can reinforce learning. Competing Interests: ELPL is the lead coordinator of the Esther Network Singapore who facilitated the implementation and adaptation of the innovation in Singapore. The remaining authors declare no other competing interests. (Copyright: © 2023 The Author(s).) |
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فهرسة مساهمة: | Keywords: advocacy; coproduction; integrated care; person-centred care; power; practitioners; training |
تواريخ الأحداث: | Date Created: 20231129 Latest Revision: 20231201 |
رمز التحديث: | 20240628 |
مُعرف محوري في PubMed: | PMC10668878 |
DOI: | 10.5334/ijic.7564 |
PMID: | 38020415 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1568-4156 |
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DOI: | 10.5334/ijic.7564 |