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Implementing person-centered care in a general medical clinic: cultural barriers and driving forces

Eric Carlstrom


Public healthcare organisations in Sweden have been described as strongly hierarchical and coherent organisations [1]. To bring about control, generalized care models have been developed to handle hospital clinics and primary care sites [2]. This paper examines the preparedness to change in hospital settings. The purpose of the present study was to reveal barriers to the introduction of person-centred care (PCC). Organisational culture and resistance to change on hospital ward and clinical level and was based on the 2 concepts of “organisational culture” and “resistance to change”. These 2 concepts were measured by questionnaires based on theories of organisational culture and resistance to change.


Cultural barriers, general medicine, implementation, organizational culture, person-centered care, person-centered medicine, preparedness to change

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