Barriers to the Provision of Person-Centered Coordination Care, Essay Example

Introduction

Obstacles hindering the effective implementation of person-centered have different interpretations. Jim Pearse and Deniza Mazevska (2018) identify six barriers to the implementation of person-centered care as leadership conceptualization. They are a lack of sufficient goals and activities, communication challenges, financial constraints, centralization, and ownership type (Pearse and Mazevska, 2018). On the contrary, according to medical researcher John Andrew, the most significant barriers to the implementation of person-centered approach come from challenges facing performance and quality measurements, and care coordination (Andrew, 2017). Andrew argues that the transformation and adoption of more advanced payment models require quality measurement and care coordination to form an integrated and continuous process (Andrew 2017).

This critical review discusses the barriers based on experience gained by serving in a diverse healthcare facility.

Barriers to Coordinated Care Implementation

According to the grounded theory, the two primary factors, which cause barriers to the implementation of person-centered, include organizational and leadership factors (Benzer et al., 2012). The organizational factors included communication between mental health and primary care and hospital referral systems.

The confirmation of the communication barriers involved observation of the interaction between mental health personnel and primary caregivers at a personal level, which was insufficient in prompting coordinated care. In some instances, primary caregivers expressed their concerns that they would prefer a psychiatrist instead of working with a psychologist. The primary caregivers (PCs) also indicated that time pressure formed a significant reason for failure in building relationships. The referral system, which informed the relationship between PCs and other medical practitioners, remained ineffective because of a lack of training and time pressure (McNeely et al., 2018). Conflicts between patient mental status and health and work design also made it challenging for the implementation of an effective referral system.

Under the organizational factors, the key factors, which provided barriers to effective implementation of a person-centered care approach, included the abilities, knowledge, and skills of the staff (Morgan and Yodar, 2012). An excellent example of observed clinic duty is that some employees lacked the motivation to perform their duties because of extended work durations. The different work patterns between mental health practitioners and PCs made a challenging to coordinate healthcare services in the hospital.

Barriers to Shared Decision-Making Implementation

Effective communication forms a key component of shared decision-making (SDM) to ensure high quality and safe healthcare practice (Lewis et al., 2019). The primary goal of SDM is empowering patients to act as active partners in making health-related decisions. Observation made during clinic duty indicates that challenges in SDM occurred mostly in older patients and individuals who suffered from mental health patients.

The engagement of patients suffering from anxiety disorders coupled with panic attacks proved difficult because of negative perceptions concerning them and the constant worry, which surrounds the health condition (Cosci, 2020). Tackling fear surrounding anxiety disorder patients requires a joint effort between caregivers, staff, and healthcare professionals. A persistent challenge prevails in attempts made to encourage anxiety disorder patients to engage in PPI. The challenge occurs because few people understand the rare mental disease and appropriate cause of action in dealing with the occurrence of physical symptoms such as panic attacks, which resemble a heart attack

Leadership Implication

The analysis of barriers and enablers of person-centered leadership revels that the biggest challenge that the leadership model forms the most critical element for effective implementation of the approach. Although different scholars have a different perception, a common theme of leadership remains dominant in ensuring effective coordination in organizations. Interviews with some of the patients revealed that self-management principles concerning respect and dignity remained the dominant benefit if using person-centered care.

Recommendations for System Barriers

System barriers often result in in-patient not receiving the optimal or best treatment (Gavigan et al., 2020). In most cases, primary caregivers lack training, tools, and time for delivering the best health care services. Cost constraints, lack of equipment, space, and staff often led to low-quality healthcare delivery (Agha et al., 2018). The best method of overcoming this challenge involves consultations and coordination among all healthcare stakeholders. Low-cost interventions form the best practice of removing some of these barriers.

Influence on Leadership Behavior

The discussions concerning the person-centered approach, both staff, and patient coordination, aimed at developing best practices. According to personal views, the exploration of the patient-centered approach provides guidelines for focusing on patient needs while at the same time evaluating the best practice for dealing with a specific condition. The analysis has a crucial influence on behavior, which encourages the best clinical practice.

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