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Cited by 95Ethics and bioethics in healthcarePatient-Provider Communication in HealthcareEthics in medical practice

Person-Centered Care from a Relational Ethics Perspective for the Delivery of High Quality and Safe Healthcare: A Scoping Review

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Tomaselli, Gianpaolo, Buttigieg, Sandra C., Rosano, Aldo, Cassar, Maria, Grima, George·2020·Frontiers in Public Health
DOI 10.3389/fpubh.2020.00044PMC PMC7067745
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Abstract

Background: The aim of this scoping review is to explore whether or not person-centered care (PCC), in its quest to deliver high quality and safe health care, has a relational-ethics perspective. To do so, we first need to relate the extant literature pertaining to PCC and relational ethics. To this extent, the specific features that define PCC and relational ethics were identified. PCC dimensions include: patient and provider concordance, improved health outcomes, improved patient safety, individual expectations, patients’ integration within the environment, patient as a person, patient as an active part of society, dialogue and interaction, sharing experience, and documentation of patient’s (person’s) narrative. Relational ethics framework includes the following actions: mutual respect, engagement, embodied knowledge, environment, and uncertainty. Methods: Data were retrieved through multiple keywords search on PubMed, Medline, and Scopus. Inclusion/exclusion criteria were set, and these were based on year of publication (2008-2018), language, paper focus, research method and document types. A total of 23 articles (N=23) were selected and reviewed. Content analysis was conducted in order to identify and compare the main features of PCC and relational ethics. Results: The most important relational ethics action referred to in conjunction with PCC features is environment (referred to as person’s integration within a social environment/community). This is followed by mutual respect, engagement and embodied knowledge. These were the salient relational ethics actions both directly and indirectly linked to PCC. Uncertainty was the less recurrent relational ethical action mentioned. Conclusions: This paper revealed that while PCC features embrace most of the relational ethics approaches, these are not exploited in their entirety and therefore PCC emerges as a unique ethical stance in healthcare. PCC’s ethical approach goes beyond what is explained within provider-patient relational ethics and emphasises that the patient is an active person and a partner in care with capabilities and resources. This distinction enables us to explain the paradigm shift from “patient-centred” to “person-centred” care. The healthcare provider partnership and co-creation of the healthcare plan contributes to the delivery of high quality, safe and cost-contained healthcare.

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  • The philosophical perspective of person-centered care emphasizes an integrative approach where the professional, as a case manager, is central to optimizing these assumptions.

    “This philosophical perspective also emphasizes the importance of an integrative approach where the role of the professional, as a case manager, is central to the optimization of these assumptions [84].”

    From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [84]

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Research works printed but not linked: 3

  1. [16]Ricoeur P Oneself as Another (Soi-même comme un autre) 1992. Chicago, IL: University of Chicago Press Kathleen Blamey (1990).
  2. [17]Sen A Capability and well-being. In: Nussbaum S editor. The quality of life. Oxford: Clarendon Press (1993). p. 30.
  3. [51]Geboy L Linking person-centered care and the physical environment: 10 Design principles for elder and dementia care staff. Alzheimer's Care Today. (2009) 10: 228– 31. 10.1097/ACQ.0b013e3181bef153 · DOI

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Authors
Tomaselli, G., Buttigieg, S. C., Rosano, A., Cassar, M., & Grima, G.
Affiliations
University of Malta (MT)
ORCID
Venue
Frontiers in Public Health
Publisher
Frontiers Media SA
Published
2020-03-06
Volume
8
Pages
44-44
ISSN
2296-2565 (ISSN-L)
DOI
10.3389/fpubh.2020.00044
PMC
PMC7067745
OpenAlex
W3010010428
Cited by
95
References
55
Citations by year
2026: 15 · 2025: 18 · 2024: 20 · 2023: 17 · 2022: 22 · 2021: 3
FWCI
1.75
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • OAR@UM (University of Malta) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
Keywords
person-centred care, relational ethics, patient safety, quality of care, patient-provider relationship, mutual respect, embodied knowledge, uncertainty
MeSH terms
Delivery of Health Care, Health Facilities, Health Personnel, Humans, Self Care, Patient-Centered Care

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