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Person-centred care at Rexshi Healthcare

In the last few decades, the world has seen a shift from doctor-centred to a person-centred care in various healthcare systems. Patient‐centred care is an growing concept, which was originally depicted by Edith Balint in 1969 as “understanding the patient as a unique human being. Many healthcare systems and organisations have been keen to improve their performance through the implementation of a person-centred care (PCC) model. PCC is a model in which healthcare providers are encouraged to partner with patients to co‐design and deliver personalised care that provides people with the high‐quality care they need. This form of approach is vital as no individual is the same and the physical, mental, socio-economic conditions, lifestyle and the environment in which they live differ. PCC also helps to improve healthcare system’s efficiency and effectiveness by drawing treatment plans/goals through mutual understanding, from both provider and service user/patient perspective. In order to nurture a PCC culture across the continuum of care, implementing PCC only in hospitals or major healthcare organisations will not suffice. This requires embedding PCC in nursing homes, care homes, educational programmes, health promotion and prevention programmes, within digital healthcare and ensuring every healthcare professional and care provider are conscious of providing person-centred care. This, in turn, will help to achieve better patient/service user outcomes and a better healthcare environment for the healthcare professionals, formal and informal carers and patients/service users.

Santana, Maria J et al. (2017) had presented a conceptual framework for implementing PCC, which includes three stages structure, process and outcome. Firstly, Structure included PCC domains related to the health‐care system or the context in which care is delivered, healthcare resources and organisational characteristics. Secondly, Process included domains associated with the interaction between service users/patients and healthcare providers. Thirdly, Outcomes showed the value of implementing the PCC model, with domains relating to the results from the interaction between the healthcare system, healthcare providers and patients/service-users. The framework is structured like a roadmap, depicting the practical and step-by-step PCC implementation in the order it should be implemented, which starts from structural domains that are needed as pre‐requisites, to facilitate processes and influence outcomes desired to achieve PCC (Santana, Maria J et al.,2017). Such a roadmap has been valuable to implement a high-quality health and domiciliary care service provider like Rexshi Healthcare.

At Rexshi Healthcare, PCC is at the heart of what we do. The organisation has the values of PCC embedded in it. From the Structure perspective, we nurture and maintain a PCC culture with all employees embracing the PCC model. Every training and monitoring provided at Rexshi Healthcare ensures that PCC is embedded within so that the workforce will be committed to it regardless of the role. The infrastructure, policies and values of the organisation spells PCC. From the Process perspective, the digital platforms used for communication and storage of information strictly adheres to GDPR and facilitates best-quality communication with our patients/service users and their family. Our communication is always focused at the patient/service-user centred and what is best for them. We ensure that every patient/service-user is treated with dignity and respect. For example, during carer visits the patient/service-user will be requested to make choices on what they want to eat or wear. Whilst performing tasks such as helping them with bathing and dressing, extra care would be taken to respect them and ensure the environment is safe by closing curtains and doors and such. By valuing a patient/service-user’s needs not only physical but also the psychological and emotional side, we see a whole person. This, we believe is a key to a successful implementation of PCC. From the Outcome perspective, we make sure that we are always accessible. We are available to reach over the phone and emails 24/7. We provide care services even in remote locations around Grimsby areas to facilitate health and domiciliary care access to individuals. We continually monitor our patients/service-users, patient-reported outcomes and get feedback form them and their families to ensure all our plans for the person is PCC. From the time of its operation, Rexshi Healthcare has been receiving excellent reviews and feedback from its clients and we are growing in the strength of it. If you are looking for health or domiciliary care for you or your loved ones, look no further. We are only a phone call away to discuss the best person-centred care plan for you.

 

References:

Balint E. The possibilities of patient-centered medicine. J R Coll Gen Pract. 1969;17(82):269-276.

Coulter A, Oldham J. Person-centred care: what is it and how do we get there? Future Hosp J. 2016 Jun;3(2):114-116. doi: 10.7861/futurehosp.3-2-114. PMID: 31098200; PMCID: PMC6465833.

Moore L, Britten N, Lydahl D, Naldemirci Ö, Elam M, Wolf A. Barriers and facilitators to the implementation of person-centred care in different healthcare contexts. Scand J Caring Sci. 2017 Dec;31(4):662-673. doi: 10.1111/scs.12376. Epub 2016 Nov 8. PMID: 27859459; PMCID: PMC5724704.

Santana MJ, Manalili K, Jolley RJ, Zelinsky S, Quan H, Lu M. How to practice person-centred care: A conceptual framework. Health Expect. 2018;21(2):429-440. doi:10.1111/hex.12640