Jayasinghe (2025) 'People‑centred care: a systems view of a new paradigm'

C/o HIFA

Dear friends,

It is my pleasure to share the link to my article "People-centred care: a systems view of a new paradigm". It is published online in Discover Health Systems and Open Access. Please see full-text access to your paper by using the following link:

https://rdcu.be/ejNUq

Kind regards Saroj

ABSTRACT People-Centred Care (PCC) is an emergent property in an “open” system. Policies aiming at promoting PCC can be categorized under four nested levels: Micro-level; Meso-level; Macro-level; and Mega-level and used to draw systems diagrams. We develop a single composite diagram which demonstrates interactions and feedback, within and across subsystems, resembling panarchy.

Jayasinghe, S. People-centred care: a systems view of a new paradigm. Discov Health Systems 4, 43 (2025). https://doi.org/10.1007/s44250-025-00215-9.

Saroj Jayasinghe MBBS (Col), MD (Col), MRCP (UK), MD (Bristol), PhD (Col), FRCP (Lond), FCCP, FNASSL Fellow of the International Science Council, Emeritus Professor, University of Colombo, Former Head, Department of Medical Humanities, University of Colombo, Sri Lanka Consultant Physician sarojoffice AT yahoo.com, saroj AT clinmed.cmb.ac.lk

Professor Jayasinghe's paper provides several informative figures on centredness, scale and levels, micro-mega; and affords a way to use Hodges' model to help define person, patient, people and service-centred care. These definitions could be developed, refined and validated using a relational formulation.

Individual

|

      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

|

Group

PERSON-  PATIENT-CENTRED psycho-

PERSON- PATIENT-CENTRED location bio-

social PEOPLE-CENTRED 'Health systems and services designed ‘for and with people’ are captured by the concept of People-Centred Care (PCC) defined as an approach “to care that consciously adopts individuals’, carers’, families’, and communities’ perspectives as participants in, and beneficiaries of, trusted health systems that are organised around the comprehensive needs of people rather than individual disease, and respects social preferences.' Duong, et al. (2024).

political policy - engagement - design SERVICE-CENTRED panarchy 'Let us together forge a new way of knowing and practicing health care in the post-Sustainable Development Goal era, using people-centred care as our guide to achieve Universal Health Coverage.' Duong, et al. (2024).

Duong DB, Holt B, Munoz C, Pollack TM. For and with people: announcing the Lancet Global Health Commission on people-centred carefor universal health coverage and a call for commissioner nominations. Lancet Glob Health. 2024:S2214-109X(24)00216-X.
https://doi.org/10.1016/S2214-109X(24)00216-X.

Previously: 'design' : 'patient' : 'person' : 'system' : 'people'