Person-centered care is much on the minds of healthcare theorists and strategists in the last few years. What does it mean for SLP? Much discussion exists in the speech and language literature, but in this field the concepts and terminology do not appear to have standardized yet.
A team at Sweden’s University of Gothenburg Centre for Person-centered Care has performed a much-needed scoping review, to see just how far we are from agreed-upon implementation techniques of person-centered care in speech-language pathology (Forsgren E, et al., Int J Lang Commun Disord. 2022 Mar;57(2):381-402. doi: 10.1111/1460-6984.12690). This review drew on all English content concerning adult patients, in PubMed, Scopus, CINAHL, Psych INFO, and Linguistics and Language Behaviour Abstracts.
The reviewers found 134 records, most of them general discussion papers about the possibilities of person-centered care in the speech-language setting. None explored implementation, effects, or patients' views. The discussion in these papers thus far mainly relates to the International Classification of Functioning, Disability, Health framework, and Life Participation Approach to Aphasia. Studies proposing particular clinical routines focus on context-dependant considerations, like how to involve patients’ families, how to document measures and results, and various ‘barriers to eliciting a patient narrative’. Much work has been done, note the reviewers, on patient- and family-focussed care in the pediatric population. But for adults, the concept is still at its beginning.
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