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Media type:
E-Article
Title:
Person‐Centered Care for Older Adults with Chronic Conditions and Functional Impairment: A Systematic Literature Review
Contributor:
Kogan, Alexis Coulourides;
Wilber, Kathleen;
Mosqueda, Laura
imprint:
Wiley, 2016
Published in:Journal of the American Geriatrics Society
Language:
English
DOI:
10.1111/jgs.13873
ISSN:
0002-8614;
1532-5415
Origination:
Footnote:
Description:
<jats:p>Person‐centered care (<jats:styled-content style="fixed-case">PCC</jats:styled-content>) shifts focus away from the traditional biomedical model in favor of embracing personal choice and autonomy for people receiving health services. It has become an important avenue for improving primary care, and older adults remain a priority target for <jats:styled-content style="fixed-case">PCC</jats:styled-content> because they are more likely to have complex care needs than younger individuals. Nevertheless, despite a growing body of evidence regarding its use, <jats:styled-content style="fixed-case">PCC</jats:styled-content> still lacks an agreed‐upon definition. A literature review was conducted to explore extant scholarship on <jats:styled-content style="fixed-case">PCC</jats:styled-content> for older adults, assess corresponding definitions of <jats:styled-content style="fixed-case">PCC</jats:styled-content>, and identify important elements of quality <jats:styled-content style="fixed-case">PCC</jats:styled-content>. Nearly 3,000 articles published between 1990 and 2014 were identified. Excluding search results outside the parameters of this study, the final review comprised 132 nonduplicate sources focused on patient‐centered care or <jats:styled-content style="fixed-case">PCC</jats:styled-content> in older adults. Fifteen descriptions of <jats:styled-content style="fixed-case">PCC</jats:styled-content> were identified, addressing 17 central principles or values. The six most‐prominent domains of <jats:styled-content style="fixed-case">PCC</jats:styled-content> were holistic or whole‐person care, respect and value, choice, dignity, self‐determination, and purposeful living. The body of evidence reviewed suggests that <jats:styled-content style="fixed-case">PCC</jats:styled-content> is an important area of growing interest. Although multiple definitions and elements of <jats:styled-content style="fixed-case">PCC</jats:styled-content> abound—with many commonalities and some overlap—the field would benefit from a consensus definition and list of essential elements to clarify how to operationalize a <jats:styled-content style="fixed-case">PCC</jats:styled-content> approach to health care and services for older adults. This work guided the development of a separate American Geriatrics Society expert panel statement presenting a standardized definition and a list of <jats:styled-content style="fixed-case">PCC</jats:styled-content> elements for older adults with chronic conditions or functional impairment.</jats:p>