Implementation of Good Practice Guidelines for Person- and Family-Centered Care in Primary Health Care in Chile

Introduction: Person- and family-centered care has become a fundamental pillar of Primary Health Care (PHC), promoting active participation, effective communication, and respect for autonomy. In this context, an implementation experience with the Registered Nurses' Association of Ontario (RNAO) Good Clinical Practice Guidelines (GCPG) was developed in a health center in Chile. Objective: To analyze the experience with the implementation of the GCPG "Person- and Family-Centered Care" at the Dr. Fernando Monckeberg Family Health Center (CESFAM). Methodology: A single-case study design was used. Data were collected through documentary analysis. The process was carried out in three phases, ensuring ethical feasibility and a thorough understanding of the phenomenon. Results: Three key GCPG recommendations were prioritized. Multi-format educational resources, a "Comprehensive Care Card," and a user satisfaction survey were developed. Eighty-two percent of staff were trained, and the survey was administered in 46 % of ECICEP check-ups. Ninety-six percent of respondents positively evaluated the care, with scores of 6 or 7 on a scale of 1 to 7. Discussion: Experience shows that it is possible to implement person-centered strategies in PHC, using evidence-based guidelines adapted to the local context. Challenges were identified, particularly with the coverage of user assessments. Conclusions: the intervention allowed for the integration of person-centered practices in a concrete and measurable way, generating valuable learning for future implementations in similar contexts.

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Publication Details

Journal
Health Leadership and Quality of Life
Published
2025-09-15
DOI
https://doi.org/10.56294/hl2025882
Primary Topic
Patient-Provider Communication in Healthcare
Type
article
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article

Implementation of Good Practice Guidelines for Person- and Family-Centered Care in Primary Health Care in Chile

Esmérita Opazo-Morales, Angélica Villamán Guajardo, Mirliana Ramírez-Pereira, Valeria Díaz Videla et al.
Health Leadership and Quality of Life
Patient-Provider Communication in Healthcare
article

Implementation of Good Practice Guidelines for Person- and Family-Centered Care in Primary Health Care in Chile

Esmérita Opazo-Morales, Angélica Villamán Guajardo, Mirliana Ramírez-Pereira, Valeria Díaz Videla, Amália Graciela Silva Galleguillo, María José Vásquez Mayr
article en

Abstract

Introduction: Person- and family-centered care has become a fundamental pillar of Primary Health Care (PHC), promoting active participation, effective communication, and respect for autonomy. In this context, an implementation experience with the Registered Nurses' Association of Ontario (RNAO) Good Clinical Practice Guidelines (GCPG) was developed in a health center in Chile. Objective: To analyze the experience with the implementation of the GCPG "Person- and Family-Centered Care" at the Dr. Fernando Monckeberg Family Health Center (CESFAM). Methodology: A single-case study design was used. Data were collected through documentary analysis. The process was carried out in three phases, ensuring ethical feasibility and a thorough understanding of the phenomenon. Results: Three key GCPG recommendations were prioritized. Multi-format educational resources, a "Comprehensive Care Card," and a user satisfaction survey were developed. Eighty-two percent of staff were trained, and the survey was administered in 46 % of ECICEP check-ups. Ninety-six percent of respondents positively evaluated the care, with scores of 6 or 7 on a scale of 1 to 7. Discussion: Experience shows that it is possible to implement person-centered strategies in PHC, using evidence-based guidelines adapted to the local context. Challenges were identified, particularly with the coverage of user assessments. Conclusions: the intervention allowed for the integration of person-centered practices in a concrete and measurable way, generating valuable learning for future implementations in similar contexts.

Health Leadership and Quality of LifeVol. 4
Universidad de Santiago de Chile (CL), Hospital Padre Hurtado (CL), University of Chile (CL)
Openalex Percentile: Top 59%
Patient-Provider Communication in Healthcare
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