How to practice person-centred care: A conceptual framework

Health Expect. 2018 Apr;21(2):429-440. doi: 10.1111/hex.12640. Epub 2017 Nov 19.


Background: Globally, health-care systems and organizations are looking to improve health system performance through the implementation of a person-centred care (PCC) model. While numerous conceptual frameworks for PCC exist, a gap remains in practical guidance on PCC implementation.

Methods: Based on a narrative review of the PCC literature, a generic conceptual framework was developed in collaboration with a patient partner, which synthesizes evidence, recommendations and best practice from existing frameworks and implementation case studies. The Donabedian model for health-care improvement was used to classify PCC domains into the categories of "Structure," "Process" and "Outcome" for health-care quality improvement.

Discussion: The framework emphasizes the structural domain, which relates to the health-care system or context in which care is delivered, providing the foundation for PCC, and influencing the processes and outcomes of care. Structural domains identified include: the creation of a PCC culture across the continuum of care; co-designing educational programs, as well as health promotion and prevention programs with patients; providing a supportive and accommodating environment; and developing and integrating structures to support health information technology and to measure and monitor PCC performance. Process domains describe the importance of cultivating communication and respectful and compassionate care; engaging patients in managing their care; and integration of care. Outcome domains identified include: access to care and Patient-Reported Outcomes.

Conclusion: This conceptual framework provides a step-wise roadmap to guide health-care systems and organizations in the provision PCC across various health-care sectors.

Keywords: conceptual framework; healthcare quality; implementation; person-centred care.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Community-Institutional Relations
  • Delivery of Health Care / economics
  • Delivery of Health Care / methods*
  • Health Services Accessibility
  • Humans
  • Organizational Culture
  • Patient Participation
  • Patient-Centered Care / economics
  • Patient-Centered Care / methods*
  • Patient-Centered Care / organization & administration*
  • Professional-Patient Relations
  • Telemedicine / methods