Proposals for person-centred care in the COVID-19 era. Delphi study.

José J Mira, Martín Blanco, Kamila Cheikh-Moussa, Olga Solas, Aquilino Alonso, Rodrigo Gutierrez, Celia Gómez, Mercedes Guilabert
Author Information
  1. José J Mira: Departamento de Salud Alicante-Sant Joan, Grupo Atenea, FISABIO, Alicante, Spain. ORCID
  2. Martín Blanco: Consultor en ámbito sanitario y de la sostenibilidad justa, Madrid, Spain.
  3. Kamila Cheikh-Moussa: Departamento de Salud Alicante-Sant Joan, Grupo Atenea, FISABIO, Alicante, Spain.
  4. Olga Solas: Consultora en políticas públicas, Toledo, Spain.
  5. Aquilino Alonso: Área de Servicios Públicos Supramunicipales, Diputación Provincial de Sevilla, Sevilla, Spain.
  6. Rodrigo Gutierrez: Sociedad Española de Atención al Usuario de la Sanidad, Barcelona, Spain.
  7. Celia Gómez: Servicio Cántabro de Salud, Santander, Spain.
  8. Mercedes Guilabert: Universidad Miguel Hernández, Elche, Alicante, Spain.

Abstract

BACKGROUND: In this COVID-19 era, we need to rethink the criteria used to measure the results of person-centred care strategies.
OBJECTIVE: To identify priorities, and criteria that health services can use to pursue actually the goal of achieving person-centred care.
DESIGN: Three-phase online qualitative study performed during May-July of 2020 using the Delphi technique.
SETTING AND PARTICIPANTS: An online platform was used for a consensus meeting of 114 participants, including health planning experts, health-care institution managers, clinicians and patients.
MAIN OUTCOME MEASURES: Criteria and indicators for the achievement of person-centred care.
MAIN RESULTS: The first round began with 125 proposals and 11 dimensions. After the second round, 28 ideas reached a high level of consensus among the participants. Ultimately, the workgroup agreed on 20 criteria for goals in the implementation of person-centred care during the COVID-19 era and 21 related indicators to measure goal achievement.
DISCUSSION: Nine dimensions and 28 priorities were identified. These priorities are also in accordance with the quadruple aim approach, which emphasizes the need for care for health-care professionals, without whom it is impossible to achieve a better quality of care.
CONCLUSIONS: Person-centred care continues to be a key objective. However, new metrics are needed to ensure its continued development during the restoration of public health services beyond the control of COVID-19.
PATIENT OR PUBLIC CONTRIBUTION: Twelve professionals and patient representatives participated voluntarily in the construction of the baseline questionnaire and in the selection of the criteria and indicators using an online platform for consensus meetings.

Keywords

References

  1. Health Expect. 2018 Apr;21(2):429-440 [PMID: 29151269]
  2. Aten Primaria. 2004 Sep 15;34(4):161-6 [PMID: 15388062]
  3. Hosp Health Netw. 2013 Apr;87(4):41-7 [PMID: 23700758]
  4. Aten Primaria. 1994 Dec;14(10):1135-40 [PMID: 7849215]
  5. Res Social Adm Pharm. 2021 Jan;17(1):1838-1844 [PMID: 33317762]
  6. Health Expect. 2017 Jun;20(3):407-418 [PMID: 27193725]
  7. N Engl J Med. 2012 Mar 1;366(9):780-1 [PMID: 22375967]
  8. Health Expect. 2021 Apr;24(2):687-699 [PMID: 33639043]
  9. Health Expect. 2014 Dec;17(6):826-39 [PMID: 22897499]
  10. Scand J Caring Sci. 2010 Sep;24(3):620-34 [PMID: 21050249]
  11. BMJ. 2020 Sep 8;370:m3483 [PMID: 32900782]
  12. Ann Fam Med. 2014 Nov-Dec;12(6):573-6 [PMID: 25384822]
  13. Semergen. 2020 Aug;46 Suppl 1:3-5 [PMID: 32446589]
  14. Gac Sanit. 2014 Jun;28 Suppl 1:142-6 [PMID: 24704282]
  15. Online J Issues Nurs. ;21(1):1 [PMID: 27852212]
  16. BMJ Qual Saf. 2020 Sep;29(9):711-716 [PMID: 31488570]
  17. Int Psychogeriatr. 2020 Oct;32(10):1165-1168 [PMID: 32468982]
  18. BMJ Qual Saf. 2015 Oct;24(10):608-10 [PMID: 26038586]
  19. BMJ Open. 2016 Jan 29;6(1):e009388 [PMID: 26826147]
  20. BMJ. 2020 May 15;369:m1932 [PMID: 32414712]
  21. Front Psychol. 2020 Oct 29;11:589249 [PMID: 33192925]
  22. Gac Sanit. 2014 Jun;28 Suppl 1:116-23 [PMID: 24656990]
  23. BMJ. 2020 Oct 20;371:m3945 [PMID: 33082127]
  24. Lancet. 2020 Aug 22;396(10250):529-530 [PMID: 32771082]
  25. J Healthc Qual Res. 2021 Jan-Feb;36(1):42-46 [PMID: 33229291]

Grants

  1. Prometeo/2017/173/Valencian Innovation, Universities, Science and Digital Society Department
  2. /Merck Sharp and Dohme

MeSH Term

COVID-19
Consensus Development Conferences as Topic
Delivery of Health Care, Integrated
Delphi Technique
Health Personnel
Humans
Nurse-Patient Relations
Patient Participation
Patient-Centered Care
Physician-Patient Relations
Primary Health Care
Qualitative Research
SARS-CoV-2
Surveys and Questionnaires

Word Cloud

Created with Highcharts 10.0.0carehealthperson-centredCOVID-19criteriaeraprioritiesonlineconsensusindicatorsneedusedmeasureservicesgoalstudyusingDelphiplatformparticipantshealth-careMAINachievementrounddimensions28professionalspatientrelationsBACKGROUND:rethinkresultsstrategiesOBJECTIVE:identifycanusepursueactuallyachievingDESIGN:Three-phasequalitativeperformedMay-July2020techniqueSETTINGANDPARTICIPANTS:meeting114includingplanningexpertsinstitutionmanagersclinicianspatientsOUTCOMEMEASURES:CriteriaRESULTS:firstbegan125proposals11secondideasreachedhighlevelamongUltimatelyworkgroupagreed20goalsimplementation21relatedDISCUSSION:NineidentifiedalsoaccordancequadrupleaimapproachemphasizeswithoutimpossibleachievebetterqualityCONCLUSIONS:Person-centredcontinueskeyobjectiveHowevernewmetricsneededensurecontinueddevelopmentrestorationpublicbeyondcontrolPATIENTORPUBLICCONTRIBUTION:TwelverepresentativesparticipatedvoluntarilyconstructionbaselinequestionnaireselectionmeetingsProposalsdeliverypersonnelintegratednurse-patientparticipationpatient-centredphysician-patientprimaryspanishsystem

Similar Articles

Cited By