Background: Patient care models have been implemented and documented worldwide. Many studies have\nfocused on features that hinder and facilitate the shift to such models, including the implementation process, staff\ninvolvement, resistance to new models and cultural dimensions. However, few studies have identified the potential\neffects of such new care models from a patient perspective. The aim of the present study was to investigate\nwhether patients did in fact perceive the intentions of partnership in the new care model 1 year after its\nimplementation.\nMethods: Sixteen participants were interviewed, selected from two wards in a medical department where a new\ncare model had been implemented 1 year earlier. A directed deductive content analysis was selected. The aim of\nthe directed approach to content analysis was to investigate to what extent the new care model had been\nimplemented, using patients� perspectives to describe the level of implementation. A coding framework was\ndeveloped based on a theoretical paper that described the key features of the new care model.\nResults: The implementation of person-centred care had clearly occurred to a large degree, even if some patients\nappeared not to have been exposed to the model at all. Aspects of the newly implemented care model were\nobvious; however, it was also clear that implementation was not complete. The analysis showed that patients felt\nlistened to and that their own perception of the situation had been noted. Patients spontaneously expressed that\nthey felt that the staff saw them as persons and did not solely focus on their disease. It was also stated that not\nevery ailment or aspect of a patient�s illness needed to be addressed or resolved for open listening to be perceived\nas a positive experience.\nConclusions: The findings indicate that even though some patients were not interested in participating and\nplaying an active role in their own care, this might relate to a lack of understanding on how to invite them to do\nso and to increase their confidence. To change healthcare from a paternalistic system to care where patients are\nseen as partners may require pedagogical skills.
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