STRATEGY FOR THE IMPLEMENTING THE PATIENT AND FAMILY CENTERED CARE IN HEALTHCARE SETTING

English

  • Lucky Sarjono Buranda Baptist Indonesia Research and Development Center (BIRD-C)
Keywords: Patient and Family Centered Care, Strategy, Policy, Pilot, PDSA

Abstract

Patient and Family Centered Care (PFCC) is an import part of patient’s autonomy which is the basic human rights of decision-making on what the best they think for their own body. The approach of PFCC is involving not only the patient, but also the family members in providing the decision for their loved one. This article is a narrative literature review with aim to combine several literatures into a strategy for implementing the PFCC in a hospital. An article revealed 7 domains for implementing the PFCC. They are leadership, patient and family engagement, staff engagement, focus on innovations, alignment of staff roles and priorities, organizational structures and processes, and the environment of care. It started with rigorous discussion on the current situation of the organization, the mission and value that aligned with PFCC implementation initiatives. All policies and guidelines must accommodate the FPCC initiatives within the evidence-based medical practice. Piloting the system is the best way to start the implementation of FPCC before it is generally adopt by the entire hospital system. PDSA is one of the best tools to evaluate the pilot. There are two types of PDSA: Model For Improvement – PDSA and FOCUS PDCA. Both essentially offer similar PDSA system, but different in the process and setting.

References

Abuzied, Y., Alshammary, S. A., Alhalahlah, T., & Somduth, S. (2023). Using FOCUS-PDSA Quality Improvement Methodology Model in Healthcare: Process and Outcomes. Global Journal on Quality and Safety in Healthcare, 6(2), 70–72. https://doi.org/10.36401/JQSH-22-19

Baurasien, B. K., Alareefi, H. S., Almutairi, ‏Diyanah Bander, Alanazi, ‏Maserah Mubrad, Alhasson, ‏Aseel Hasson, Alshahrani, A. D., & Almansour, S. A. (2023). Medical errors and patient safety: Strategies for reducing errors using artificial intelligence. International Journal of Health Sciences, 7(S1), 3471–3487. https://doi.org/10.53730/ijhs.v7ns1.15143

Bokhour, B. G., Fix, G. M., Mueller, N. M., Barker, A. M., LaVela, S. L., Hill, J. N., Solomon, J. L., & Lukas, C. V. (2018). How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2949-5

Breneol, S., Curran, J. A., Marten, R., Minocha, K., Johnson, C., Wong, H., Langlois, E. V., Wozney, L., Vélez, C. M., Cassidy, C., Juvekar, S., Rothfus, M., Aziato, L., Keeping-

Burke, L., Adjorlolo, S., & Patiño-Lugo, D. F. (2022). Strategies to adapt and implement health system guidelines and recommendations: a scoping review. In Health Research Policy and Systems (Vol. 20, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12961-022-00865-8

De Winter, M. (2020). Reshaping health care governance using pilot projects as public policy implementation instruments The case of integrated care pilot projects for chronic patients in Belgium. International Review of Public Policy, 2(3), 317–341. https://doi.org/10.4000/irpp.1422

DiGIoia, A. M., Clayton, S. B., & Giarrusso, M. B. (2016). “What Matters to You?”: A pilot project for implementing patient-centered care. Patient Experience Journal, 3(2), 130–137. https://doi.org/10.35680/2372-0247.1121

Ferla, J. B. da S., Araújo, C. M. de, Stechman-Neto, J., Tonocchi, R. de C., Krüger, S. I., & Berberian, A. P. (2022). Effect of the patient-centered care model on health professional satisfaction: a systematic review. In Revista Gaucha de Enfermagem (Vol. 43, Issue Special Issue). Universidade Federal do Rio Grande do Sul,Faculdade de Educacao. https://doi.org/10.1590/1983-1447.2022.20210288.en

Fortune, T., O’ Connor, E., & Donaldson, B. (n.d.). Guidance on Designing Healthcare External Evaluation Programmes including Accreditation 2015 International Accreditation Programme (IAP) ISQua Accreditation Guidance on Designing Healthcare External Evaluation Programmes including Accreditation.

Health Quality Ontario. (2012). Quality Improvement Guide. Queen’s Printer for Ontario.

The University of Osaka Hospital. (n.d.). Hospital Policy for Patient Safety and Quality of Care. Retrieved April 16, 2025, from https://www.hosp.med.osaka-u.ac.jp/english/outline/basicpolicy.html

International Society for Quality in Health Care. (2018). Guidelines and Standards for External Evaluation Organisations (5th ed.). ISQua.

Janerka, C., Leslie, G. D., & Gill, F. J. (2023). Development of patient-centred care in acute hospital settings: A meta-narrative review. In International Journal of Nursing Studies (Vol. 140). Elsevier Ltd. https://doi.org/10.1016/j.ijnurstu.2023.104465

Kaplan, R. S. (2010). Conceptual Foundations of the Balanced Scorecard. http://ssrn.com/abstract=1562586https://ssrn.com/abstract=1562586

Katowa-Mukwato, P., Mwiinga-Kalusopa, V., Chitundu, K., Kanyanta, M., Chanda, D., Mbewe Mwelwa, M., Ruth, W., Mundia, P., & Carrier, J. (2021). Implementing Evidence Based Practice nursing using the PDSA model: Process, lessons and implications. International Journal of Africa Nursing Sciences, 14. https://doi.org/10.1016/j.ijans.2020.100261

Lau, F., & Kuziemsky, C. (2016). Handbook of eHealth Evaluation: An Evidence-based Approach. University of Victoria.

Davis, D. L., Hercelinskyj, G., & Jackson, L. M. (2016). Promoting Interprofessional Collaboration: A Pilot Project Using Simulation in the Virtual World of Second Life. Journal of Research in Interprofessinal Practice and Education (JRIPE), 6(2), 1–15. https://doi.org/https://doi.org/10.22230/jripe.2017v6n2a225

Liang, Z., Howard, P., Wang, J., Xu, M., & Zhao, M. (2020). Developing senior hospital managers: Does “one size fit all”?-evidence from the evolving Chinese health system. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05116-6

Liang, Z., Xu, M., Liu, G., Zhou, Y., & Howard, P. (2022). Patient-centred care and patient autonomy: doctors’ views in Chinese hospitals. BMC Medical Ethics, 23(1). https://doi.org/10.1186/s12910-022-00777-w

McDonald, B. (2012). A Review of the Use of the Balanced Scorecard in Healthcare.

Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (2019). The Healthcare Quality Book: Vision, Strategy, and Tools (4th ed.). AUPHA/HAP Book.

Institute for Patient- and family-centered care. (n.d.). Patient- and Family-Centered Care. Retrieved April 9, 2025, from https://www.ipfcc.org/about/pfcc.html

Centers for Medicare & Medicaid Services. (2023). Person-Centered Care | CMS. https://www.cms.gov/priorities/innovation/key-concepts/person-centered-care

Powell, B. J., Fernandez, M. E., Williams, N. J., Aarons, G. A., Beidas, R. S., Lewis, C. C., McHugh, S. M., & Weiner, B. J. (2019). Enhancing the impact of implementation strategies in healthcare: A research agenda. Frontiers in Public Health, 7(JAN). https://doi.org/10.3389/fpubh.2019.00003

Rodríguez Perera, F. de P., & Peiró, M. (2012). Strategic Planning in Healthcare Organizations. Revista Española de Cardiología (English Edition), 65(8), 749–754. https://doi.org/10.1016/j.rec.2012.04.004

Saw, P. S., Balqis-Ali, N. Z., Quek, K. F., Ahmad, B., Fun, W. H., Sararaks, S., & Lee, S. W. H. (2024). Organizational strategies in promoting person-centered primary care: A participatory concept mapping study. International Journal of Healthcare Management, 17(3), 517–527. https://doi.org/10.1080/20479700.2023.2200604

Schoenfeld, E. M., Mader, S., Houghton, C., Wenger, R., Probst, M. A., Schoenfeld, D. A., Lindenauer, P. K., & Mazor, K. M. (2019). The Effect of Shared Decisionmaking on Patients’ Likelihood of Filing a Complaint or Lawsuit: A Simulation Study. Annals of Emergency Medicine, 74(1), 126–136. https://doi.org/10.1016/j.annemergmed.2018.11.017

Showalter, J. S. (2017). Taking a Systematic Approach to Hospital Policy Development. https://www.hfma.org/finance-and-business-strategy/strategic-planning/52107/

Taylor, M. J., Mcnicholas, C., Nicolay, C., Darzi, A., Bell, D., & Reed, J. E. (2013). Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Quality & Safety, 2014(23), 290–298. https://doi.org/10.1136/bmjqs-2013-001862

Victor Tabbush, by, Coulourides Kogan, A., Mosqueda, L., & Kominski, G. F. (2016). Person-Centered Care: The Business Case.

Vijn, T. W., Wollersheim, H., Faber, M. J., Fluit, C. R. M. G., & Kremer, J. A. M. (2018). Building a patient-centered and interprofessional training program with patients, students and care professionals: Study protocol of a participatory design and evaluation study. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3200-0

Published
2025-10-06

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.