Gothenburg University and The Sahlgrenska University Hospital have a strong tradition of clinical research. GPCC is a research centre for person-centred research, where researchers from nearly all of Gothenburg University’s faculties are represented.
GPCC was established in 2010, with the support of the Swedish government's strategic investment in health and care research. Its over-arching aim is to support and carry out high quality research in person-centred care. The objectives of the research are to learn how long term illness is experienced and handled by the individual, as well as to implement and evaluate person-centred care.
GPCC activities are shaped by and influence all three domains of the knowledge triangle; research, innovation and education.
More than 100 national and international researchers from different fields of study come together to work on approximately 40 different studies at GPCC. They come from a wide variety of backgrounds such as Education, Philosophy, Health Care Sciences, Medicine and Health Care Organisation. Approximately 30 PhD Students also are affiliated with the Centre.
One of our missions is to spread our knowledge, by, amongst other things, creating educational training programmes. These programmes, rooted in person-centred research evidence and theory as well as change managemant, have been developed by GPCC since the spring of 2012.
Beyond the clinical research, the aspect of utilization is considered from the start. That way we ensure that our research can be put to practical use, with the end goal being to contribute to evidence based, sustainable change in health care.
The research at GPCC has gained a lot of attention. Person-centred care has proven to be effective care; it adapts care to each individual and is cost effective.
A study showed that when chronic heart failure patients had person-centred care during their hospital stay, they felt less uncertain about their condition and treatment. (1) In addition the care time was reduced by a third. (2)
Person-centred care after acute coronary heart syndrome (infarction, instable angina) was studied in a randomized, controlled trial. The group of persons who received person-centred care showed a significantly increased self-efficacy compared to the control group. (3) The patients receiving person-centred care also had almost three times greater chance of recovery than those who did not. In addition, findings demonstrated that person-centred care improves the efficiency of health care services across transitions in care from hospital to home.
Another example of what can be achieved with a person-centred approach is shown in a study of older patients with a hip fracture. With the implementation of person-centred teamwork, the following results were reported:
• A significantly improved pain relief compared to the control group. (4)
• A significant reduction of pressure wounds and other medicinal complications compared to traditional (or standard) care. (4)
• A 50% reduction of the number of hospital care days compared to traditional care. (5)
• A 40% reduction of care costs compared to traditional care. (6)
In 2015 the GPCC identified four priority areas and subsequently organized their research in these areas into those research lines:
• Building Blocks for person-centred care
• Evaluation & measurement of person-centred care
• Implementation of person-centred care
• Organisation for person-centred care
1. Dudas K, Olsson LE, Wolf A, Swedberg K, Taft C, Schaufelberger M, Ekman I: Uncertainty in illness among patients with chronic heart failure is less in person-centered care than in usual care. European Journal of Cardiovasc Nursing, 2013 Jan 9 . [Epub ahead of print]
2. Ekman I, Wolf A, Olsson LE, Taft C, Dudas K, Schaufelberger M, Swedberg K: Effects of person-centered care in patients with chronic heart failure: the PCC-HF study. European Heart Journal, 2011, 32:2395–2404.
3. Fors, A., Ekman, I., Taft, C., Björkelund, C., Frid, K., Larsson, M., et al. (2015). Person-centred care after acute coronary syndrome, from hospital to primary care - a randomised controlled trial. International Journal of Cardiology, 187, 693–699.
4. Olsson LE, Karlsson J, Ekman I: Effects of nursing interventions within an integrated care pathway for patients with hip fracture. Journal of Advanced Nursing, 2007, 58(2):116-25.
5. Olsson LE, Karlsson J, Ekman I: The integrated care pathway reduced the number of hospital days by half: a prospective comparative study of patients with acute hip-fracture. Journal of Orthopaedic Surgery and Research,
6. Olsson LE, Hansson E, Ekman I, Karlsson J: A costeffectiveness study of a patient-centered integrated care pathway. Journal of Advanced Nursing, 2009, 65(8):1626-1635.