ORIGINAL RESEARCH article
Front. Health Serv.
Sec. Patient Centered Health Systems
Volume 5 - 2025 | doi: 10.3389/frhs.2025.1566997
This article is part of the Research TopicThe State of the Art of Person-Centered Healthcare: Global PerspectivesView all 5 articles
Development and contextual analysis of a person-centered professional practice model in a home care service in French-speaking Switzerland
Provisionally accepted
- 1Université de Lausanne, Lausanne, Switzerland
- 2Institute of Higher Education and Research in Healthcare, Lausanne, Switzerland
- 3Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Vaud, Switzerland
- 4Pôle Santé Pays d’Enhaut, Château-d'Oex, Switzerland
- 5Réseau Santé de la Sarine, Villars-sur-Glâne, Switzerland
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Background: The Swiss healthcare system faces increasing challenges with an aging population and rising prevalence of chronic conditions, necessitating better-coordinated care delivery, particularly in home care settings.Objectives: This study aimed to develop (objective 1) and conduct a contextual analysis for implementation (objective 2) of a person-centered professional practice model for home care services in French-speaking Switzerland.Methods: A multi-method approach was used. For objective 1, concept mapping with 157 healthcare professionals (86% response rate) was conducted to develop the model. For objective 2, a contextual analysis was guided by the Intervention Mapping framework, involving focus groups with stakeholders (n=14) and field validation with frontline staff (n=6). Data analysis included both quantitative and qualitative methods.Results: The concept mapping process identified 13 core values rated on importance (scale 1-5), with health promotion scoring highest (4.4) and interprofessionalism lowest (3.7). Implementation analysis revealed key facilitators including leadership support (83% agreement) and barriers such as linguistic/cultural differences. Eight implementation strategies were identified and validated through a Delphi process, including continuous training (67% strong agreement) and safety culture promotion (83% strong agreement).Conclusions: The study demonstrates that developing and implementing a person-centered professional practice model is feasible in home care settings when supported by strong leadership commitment and structured implementation strategies. The model's alignment with the Person-centred Practice Framework of McCance and McCormack provides theoretical validation while offering practical guidance for implementation.
Keywords: Professional practice model, person-centered practice, Home Care Services, implementation science, Switzerland
Received: 26 Jan 2025; Accepted: 03 Jun 2025.
Copyright: © 2025 Mabire, Panchaud, Wey and Wicht. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Cedric Mabire, Université de Lausanne, Lausanne, Switzerland
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