New perspectives on person-centered care: an affordance-based account

Medicine, Health Care and Philosophy 23 (4):631-644 (2020)
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Abstract

Despite the growing interest and supporting evidence for person-centered care, there is still a fundamental disagreement about what makes healthcare person-centered. In this article, we define PCC as operating with three fundamental conditions: personal, participatory and holistic. To further understand these concepts, we develop a framework based on the theory of affordances, which we apply to the healthcare case of rehabilitation and a concrete experiment on social interactions between persons with cerebral palsy and physio- and occupational therapists. Based on the application of the theory, we argue that in order for healthcare to be considered as PCC, professionals need to adopt a personalistic attitude in their care, defined in terms of mutual affordances: how the professional and the person of care acknowledges each other as a person in an interaction. In opposition, we define the functionalistic attitude in terms of object affordances, those related to a concrete goal. We show that PCC requires a balance of personalistic and functionalistic attitudes, since this contributes to a participatory and holistic conception of, and interaction with, the person of care.

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Author Profiles

Juan Toro
Universidad Nacional de Colombia
Kristian Martiny
University of Copenhagen

References found in this work

Phenomenology of perception.Maurice Merleau-Ponty - 1945 - Atlantic Highlands, New Jersey: The Humanities Press. Edited by Donald A. Landes.
Phenomenology of Perception.Maurice Merleau-Ponty - 1962 - New York: Routledge. Edited by Donald A. Landes.
Phenomenology of Perception.Maurice Merleau-Ponty - 1962 - New York: Routledge. Edited by Donald A. Landes.

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