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025 Person-centred care: barriers and enablers for its implementation in Chile
  1. Paulina Bravo1,
  2. Angelina Dois2,
  3. Constanza Quezada,
  4. Valentina Turén2,
  5. Alejandra Martínez3,
  6. Isabelle Scholl4,
  7. Martin Härter4
  1. 1Fundacion Arturo Lopez Perez – Chile
  2. 2Pontificia Universidad Catolica de Chile – Chile
  3. 3Center for Technology and Behavioral Health, Geise – United States of America
  4. 4University Medical Center Hamburg-Eppendorf – Germany

Abstract

Introduction In Chile there is a public health agenda that highlights PCC as one of the pillars of comprehensive care, which appears as an expectation and a need when considering the epidemiological change affecting the country. This online study emphasised the views of stakeholders at the first level of health care to describe the concept of person-centered care (PCC) and the barriers and facilitators for its implementation in Chile.

Methods A qualitative design study on a convenience sample was conducted. People over 18 years of age, managers, decision-makers, health professionals, and academics linked to the topic and/or critical community actors (patient organizations) participated. Semi-structured interviews were conducted online, following a guideline developed through the literature review and the researchers’ consensus. All interviews were audio-recorded and transcribed verbatim. The information was analyzed following the Grounded Theory method.

Results The participants converged on a series of distinctive characteristics of the PCC, such as elements specific to the health professional, the patient and the therapeutic relationship established between them. In addition, professional training in the area (specifically relational elements), structural elements (such as achievement indicators), and patient preparation are identified as PCC’s main barriers and facilitators.

Discussion The results of this research show that the relationship must move towards patient participation in their health care and the promotion of their autonomy, both central elements of patient’ empowerment.

Conclusion This is the first study in Chile that identifies these conceptual and operational elements of the PCC. In the current regulatory framework of the country, it constitutes a contribution to advance towards the implementation of the PCC that is transversal to the different levels of health care.

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