TY - JOUR
T1 - Supporting a person-centred approach in clinical guidelines. A position paper of the Allied Health Community - Guidelines International Network (G-I-N)
AU - on behalf of the G-I-N Allied Health Steering Group
AU - van Dulmen, Simone A.
AU - Lukersmith, Sue
AU - Muxlow, Josephine
AU - Santa Mina, Elaine
AU - Nijhuis-van der Sanden, Maria W.G.
AU - van der Wees, Philip J.
AU - Bazin, S.
AU - van Benthem, D.
AU - Dreesens, D.
AU - Gordon, J.
N1 - Publisher Copyright:
© 2013 John Wiley & Sons Ltd.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Background: A person-centred approach in the context of health services delivery implies a biopsychosocial model focusing on all factors that influence the person's health and functioning. Those wishing to monitor change should consider this perspective when they develop and use guidelines to stimulate active consideration of the person's needs, preferences and participation in goal setting, intervention selection and the use of appropriate outcome measures. Objective: To develop a position paper that promotes a person-centred approach in guideline development and implementation. Design, setting and participants: We used three narrative discussion formats to collect data for achieving consensus: a nominal group technique for the Allied Health Steering Group, an Internet discussion board and a workshop at the annual G-I-N conference. We analysed the data for relevant themes to draft recommendations. Results: We built the position paper on the values of the biopsychosocial model. Four key themes for enhancing a person-centred approach in clinical guidelines emerged: (i) use a joint definition of health-related quality of life as an essential component of intervention goals, (ii) incorporate the International Classification of Functioning, Disability and Health (ICF) as a framework for considering all domains related to health, (iii) adopt a shared decision-making method, and (iv) incorporate patient-reported health outcome measures. The position statement includes 14 recommendations for guideline developers, implementers and users. Conclusion: This position paper describes essential elements for incorporating a person-centred approach in clinical guidelines. The consensus process provided information about barriers and facilitators that might help us develop strategies for implementing person-centred care.
AB - Background: A person-centred approach in the context of health services delivery implies a biopsychosocial model focusing on all factors that influence the person's health and functioning. Those wishing to monitor change should consider this perspective when they develop and use guidelines to stimulate active consideration of the person's needs, preferences and participation in goal setting, intervention selection and the use of appropriate outcome measures. Objective: To develop a position paper that promotes a person-centred approach in guideline development and implementation. Design, setting and participants: We used three narrative discussion formats to collect data for achieving consensus: a nominal group technique for the Allied Health Steering Group, an Internet discussion board and a workshop at the annual G-I-N conference. We analysed the data for relevant themes to draft recommendations. Results: We built the position paper on the values of the biopsychosocial model. Four key themes for enhancing a person-centred approach in clinical guidelines emerged: (i) use a joint definition of health-related quality of life as an essential component of intervention goals, (ii) incorporate the International Classification of Functioning, Disability and Health (ICF) as a framework for considering all domains related to health, (iii) adopt a shared decision-making method, and (iv) incorporate patient-reported health outcome measures. The position statement includes 14 recommendations for guideline developers, implementers and users. Conclusion: This position paper describes essential elements for incorporating a person-centred approach in clinical guidelines. The consensus process provided information about barriers and facilitators that might help us develop strategies for implementing person-centred care.
KW - Guidelines
KW - Health-related quality of life
KW - International Classification of Functioning, Disability and Health
KW - Patient-centred care
KW - Shared decision making
UR - http://www.scopus.com/inward/record.url?scp=84942295804&partnerID=8YFLogxK
U2 - 10.1111/hex.12144
DO - 10.1111/hex.12144
M3 - Review article
C2 - 24118821
AN - SCOPUS:84942295804
SN - 1369-6513
VL - 18
SP - 1543
EP - 1558
JO - Health Expectations
JF - Health Expectations
IS - 5
ER -