Barrieres and Opportunities in Implementing Patient-centred Management Models: An integrative review
DOI:
https://doi.org/10.71399/5cq62378Keywords:
Patient-Centred Care, Health Management, NursingAbstract
The user-centred management model has emerged as a strategic approach to organising health services, contrasting with the traditional biomedical model.
The aim of this study was to analyse the impact of implementing user-centred management models on the quality of care, user satisfaction and service efficiency, and to identify the main facilitators and barriers to their implementation.
An integrative literature review was carried out using the PICO methodology. The search took place in March 2025 in the EBSCOHost, CINAHL Ultimate and MEDLINE Ultimate databases, supplemented by a Google Scholar search using the DeCS/MeSH descriptors: “Patient-Centred Care”, “Health Management” and “Nursing”. Only peer-reviewed, full-text studies published in the last five years were selected, and 100 articles were identified, of which 96 were considered after duplicates were removed. The screening and analysis, supported by the Rayyan platform, resulted in the inclusion of 9 scientific articles and 7 documents from grey literature, according to previously defined criteria.
The results show that user-centred models favour two-way communication, the active participation of users in decision-making and the personalisation of the care plan, resulting in gains in terms of satisfaction, motivation and trust. However, there are still organisational, cultural and training barriers that limit its widespread and effective adoption.
This review reinforces the strategic value of user-centred management as a promoter of quality, efficiency and humanisation in care.
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