Abstract
A person-centred approach in the context of health services delivery implies a biopsychosocial model focusing on all factors that influence the person's health and functioning. Those wishing to monitor change should consider this perspective when they develop and use guidelines to stimulate active consideration of the person's needs, preferences and participation in goal setting, intervention selection and the use of appropriate outcome measures. To develop a position paper that promotes a person-centred approach in guideline development and implementation. We used three narrative discussion formats to collect data for achieving consensus: a nominal group technique for the Allied Health Steering Group, an Internet discussion board and a workshop at the annual G-I-N conference. We analysed the data for relevant themes to draft recommendations. We built the position paper on the values of the biopsychosocial model. Four key themes for enhancing a person-centred approach in clinical guidelines emerged: (i) use a joint definition of health-related quality of life as an essential component of intervention goals, (ii) incorporate the International Classification of Functioning, Disability and Health (ICF) as a framework for considering all domains related to health, (iii) adopt a shared decision-making method, and (iv) incorporate patient-reported health outcome measures. The position statement includes 14 recommendations for guideline developers, implementers and users. This position paper describes essential elements for incorporating a person-centred approach in clinical guidelines. The consensus process provided information about barriers and facilitators that might help us develop strategies for implementing person-centred care.
Highlights
A person-centred approach in the context of health services delivery implies a biopsychosocial model focusing on all factors that influence the person’s health and functioning
Four key themes for enhancing a person-centred approach in clinical guidelines emerged: (i) use a joint definition of health-related quality of life as an essential component of intervention goals, (ii) incorporate the International Classification of Functioning, Disability and Health (ICF) as a framework for considering all domains related to health, (iii) adopt a shared decision-making method, and (iv) incorporate patient-reported health outcome measures
In between the nominal group sessions, we explored the literature about the emerging themes to develop clarity and definitions and to see how we could fit these themes into clinical practice guidelines
Summary
A person-centred approach in the context of health services delivery implies a biopsychosocial model focusing on all factors that influence the person’s health and functioning. Those wishing to monitor change should consider this perspective when they develop and use guidelines to stimulate active consideration of the person’s needs, preferences and participation in goal setting, intervention selection and the use of appropriate outcome measures. Environmental factors make up the physical, social and attitudinal environment of a person; they include family support and the health service system.[3] Contextual factors may affect a person’s functioning and can be either a barrier to or a facilitator for the improvement of personal health outcomes within a health services system
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