EN 17398:2020
(Main)Patient involvement in health care - Minimum requirements for person-centred care
Patient involvement in health care - Minimum requirements for person-centred care
This document specifies minimum requirements for patient involvement in health care services with the aim to create favourable structural conditions for person-centred care.
It is applicable for use before, during and after the actual care that is provided by the care personnel.
This document is also applicable for use on a strategic level for quality assurance and quality improvement, for procurement, educational and supervisory purposes and as a guiding document for research and development projects in the field of intervention and implementation of person-centred care.
Patientenbeteiligung bei der Gesundheitsversorgung - Mindestanforderungen an die personenzentrierte Versorgung
Dieses Dokument legt Mindestanforderungen für die Patientenbeteiligung in Dienstleistungen für die Gesundheitsversorgung fest, mit dem Ziel, günstige strukturelle Bedingungen für die personenzentrierte Versorgung zu schaffen.
Es ist zur Nutzung vor, während und nach der tatsächlichen Pflege durch das Personal der Gesundheitsversorgung anwendbar.
Dieses Dokument ist ferner zur Nutzung auf strategischer Ebene zur Qualitätssicherung und -verbesserung, für Zwecke der Beauftragung, Ausbildung und Überwachung sowie als Leitdokument für Forschungs- und Entwicklungsprojekte im Bereich der Vermittlung und Umsetzung der personenzentrierten Versorgung anwendbar.
Implication du patient dans les soins de santé - Exigences minimales relatives aux soins centrés sur la personne
Le présent document spécifie les exigences minimales relatives à l’implication du patient dans les services de soins de santé dans le but de créer des conditions structurelles propices aux soins centrés sur la personne.
Il est destiné à être utilisé avant, pendant et après les soins prodigués par le personnel soignant.
Le présent document est également destiné à être utilisé au niveau stratégique pour l’assurance qualité et l’amélioration de la qualité, pour l’approvisionnement, la formation et la supervision, ainsi que comme document de référence pour les projets de recherche et de développement dans le cadre de l’intervention et de la mise en oeuvre de soins centrés sur la personne.
Vključevanje bolnikov v zdravstveno oskrbo - Minimalne zahteve za oskrbo, osredotočeno na posameznika
General Information
Standards Content (Sample)
SLOVENSKI STANDARD
01-september-2020
Vključevanje bolnikov v zdravstveno oskrbo - Minimalne zahteve za oskrbo,
osredotočeno na posameznika
Patient involvement in health care - Minimum requirements for person-centred care
Patientenbeteiligung bei der Gesundheitsversorgung - Mindestanforderungen an die
personenzentrierte Versorgung
Implication du patient dans les soins de santé - Exigences minimales relatives aux soins
axés sur la personne
Ta slovenski standard je istoveten z: EN 17398:2020
ICS:
11.020.10 Zdravstvene storitve na Health care services in
splošno general
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.
EN 17398
EUROPEAN STANDARD
NORME EUROPÉENNE
June 2020
EUROPÄISCHE NORM
ICS 11.020.10
English Version
Patient involvement in health care - Minimum
requirements for person-centred care
Implication du patient dans les soins de santé - Patientenbeteiligung bei der Gesundheitsversorgung -
Exigences minimales relatives aux soins centrés sur la Mindestanforderungen an die personenzentrierte
personne Versorgung
This European Standard was approved by CEN on 10 May 2020.
CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.
CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION
EUROPÄISCHES KOMITEE FÜR NORMUNG
CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2020 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN 17398:2020 E
worldwide for CEN national Members.
Contents Page
European foreword . 3
Introduction . 4
1 Scope . 6
2 Normative references . 6
3 Terms and definitions . 6
4 The patient’s narrative and experience of illness. 9
4.1 General . 9
4.2 Requirements . 10
4.2.1 Organisational level . 10
4.2.2 Point-of-care level . 10
5 Partnership . 11
5.1 General . 11
5.2 Requirements . 11
5.2.1 Organisational level . 11
5.2.2 Point-of-care level . 11
6 Documentation, care plan and information sharing . 12
6.1 General . 12
6.2 Requirements . 12
6.2.1 Organisational level . 12
6.2.2 Point-of-care level . 13
7 Patient and public involvement in management, organisation and decision/policy-
making . 13
7.1 General . 13
7.2 Requirements . 14
Annex A (informative) Cases . 15
A.1 General . 15
A.2 Follow-up in primary care . 15
A.3 Dentistry . 16
A.4 Breastfeeding . 17
A.5 Patient and public involvement . 18
A.6 Patient with psychosis . 19
A.7 Long-term care . 20
A.8 Woman with aphasia after stroke . 21
A.9 Paediatrics . 22
Annex B (informative) Patient involvement at different health care levels and phases . 24
B.1 General . 24
B.2 Patient involvement and person-centred care . 24
B.3 Partnership in person-centred care and responsibilities . 25
B.4 Resources and tools . 26
Bibliography . 28
European foreword
This document (EN 17398:2020) has been prepared by the Technical Committee CEN/TC 450
“Patient involvement in person-centred care”, the secretariat of which is held by SIS.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by December 2020, and conflicting national standards
shall be withdrawn at the latest by December 2020.
Attention is drawn to the possibility that some of the elements of this document may be the subject
of patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
According to the CEN-CENELEC Internal Regulations, the national standards organisations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary,
Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal,
Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland,
Turkey and the United Kingdom.
Introduction
This document aims to facilitate patient involvement and the development of a partnership between
the patient and the care personnel. Patient involvement and partnership are based on the patient’s
resources and capacities as well as wishes and needs, primarily focusing on the patient ́s narrative,
shared decision-making, information sharing as well as documentation on the individual, operational
and strategic level (see Annex B).
Guiding principle
This document provides minimum requirements for patient involvement in health care. It aims to
facilitate the partnership between patients and care personnel in the design, implementation and
evaluation of health care services. The document can be used as an aid in the planning, management,
implementation and systematic evaluation of daily activities, enabling the patients to manage their
daily life and empowering them in the care process. Furthermore, it can be used to support patient
involvement on a systemic level; ensuring that the patient perspective is included in the
development, implementation and evaluation of health care services, research and policies.
This document focuses on patient involvement in health care. However, in many situations social
care is closely related to, or is provided along with, health care services. Thus, this document could
be used as a guide for social care alongside health care services.
This document applies to all health care services, e.g. in general practices, primary care centres,
dental practices, home care, rehabilitation, preventive and long-term care. Further, when the needs
of the patients are being considered, the family and the support networks around the patient such as
patient proxies should be included where appropriate (see Annex B).
This document can be used before, during and after a procurement process. It provides all parties
with a common understanding of the minimum level of patient involvement and enables the
establishment of related processes and structures for all aspects of the contact between the patient,
the care personnel and the health care service providers. This also includes transitions between
different levels of care.
The document can be used for education, training and continuous development (see Annex B). The
document can also serve as support when it comes to quality aspects related to patient involvement,
e.g. in EN 15224.
Patient involvement
Effective inter-professional communication, which involves the patient in the sharing of knowledge
and creating a common understanding of objectives and self-care strategies, is a key aspect of care
optimization. The health care providers should create favourable conditions for establishing a
partnership with the patient.
A partnership involving patients should be based on confidentiality, privacy and necessary consents,
when applicable, and encompass:
— at least two parties, including the patient;
— the sharing of information and knowledge, taking into account the patient’s perspective;
— a common strive towards a consensus for the setting of objectives and outcomes;
— a context where the patient has access to documentation and can provide input on the care plan
and any follow-up thereof.
Person-centred care
Person-centred care (PCC) is an approach in which patients take part in their care, self-care and in
the decision-making process. A person has capacities, feelings, wishes and needs – and should
therefore become a partner (in some cases also involving patient proxies) in their care and treatment.
This reflects an understanding that patients are, by virtue of their health knowledge and experience,
experts on their own health status. Patients are persons and should not be reduced to their health
status alone, but rather be integrated within a given environment, with their rights and future plans
being recognized. Hence, for most of time, the patient is not in a health care context. Therefore, there
is strong reason to acknowledge and endorse every patient’s resources, interests, needs and
responsibilities in situations which concern them. Especially in cases of life-long illness, persons
manage their life for the vast majority of time without care providers. This makes it important to
focus on the person’s self-care capacities. PCC is facilitated when care personnel work together with
users of health care services, tailoring the services to the resources, needs and goals of the individual.
PCC is a shared understanding and agreem
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