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Nurs Ethics. 2014 Mar;21(2):129-47. doi: 10.1177/0969733013490593. Epub 2013 Jun 27.

Patients' perspectives on person-centred participation in healthcare: a framework analysis.

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University of Iceland, Iceland; University of Akureyri, Iceland.


The aim of this article was to critically analyse the concept of person-centred participation in healthcare from patients' perspectives through a review of qualitative research findings. In accordance with the integrative review method of Broom, data were retrieved from databases, but 60 studies were finally included in the study. The diverse attributes of person-centred participation in healthcare were identified and contrasted with participation that was not person-centred and analysed through framework analysis. Person-centred participation in healthcare was found to be based on patients' experiences, values, preferences and needs in which respect and equality were central. It manifested itself via three intertwined phases: the human-connection phase, the phase of information processing and the action phase. The results challenge in many aspects earlier concept analyses of patient participation in addition to illuminating patient participation that is not positively valued by patients.


Framework analysis; partnership; patient participation; person-centred care; qualitative research; shared decision-making

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