{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T06:11:16Z","timestamp":1783923076534,"version":"3.55.0"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:p>Person-centred care (PCC) is widely endorsed as essential to high-quality healthcare yet consistent frontline delivery remains elusive. Existing frameworks largely describe what person-centred cultures should look like but provide limited operational guidance on how to enact person-centredness within real interactions under real conditions. This practice-informed perspective paper argues that broader frameworks need to be supported by practical methodologies that directly impact provider behaviour. Drawing on two decades of experience developing and implementing HealthChange\u00ae Methodology (HCM) with over 15,000 healthcare providers across three continents, we describe how a micro-engagement skills course transformed into a service delivery methodology for PCC and behaviour change. We openly acknowledge a conflict of interest as the commercial developers of HCM. HCM provides plain-language behavioural definitions, a consultation decision framework and audit tools that make person-centredness visible, measurable and improvable. Unlike frameworks operating at the organisational level, HCM defines a set of Person-Centred Practice Principles within a behaviour change framework to operationalise person-centredness within interactions across all health service roles. To our knowledge no other methodology integrates behaviour change science, health literacy guidance and a consultation decision framework into a single accessible operational system. We describe HCM's relationship to existing PCC frameworks, its distinctive features and how they address barriers consistently identified in the implementation literature. The evidence base is predominantly observational and practice-based. Independent research is needed and actively invited. PCC will become more widespread when broader frameworks are supported by practical, scalable methodologies that translate values into consistent everyday practice.<\/jats:p>","DOI":"10.3389\/frhs.2026.1820620","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T05:35:25Z","timestamp":1783920925000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lessons learned from the frontline implementing person-centered practice: a practical pathway that addresses known challenges"],"prefix":"10.3389","volume":"6","author":[{"given":"Caroline","family":"Bills","sequence":"first","affiliation":[{"name":"HealthChange Associates","place":["Melbourne, VIC, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janette","family":"Gale","sequence":"additional","affiliation":[{"name":"Kangaroo Valley","place":["Kangaroo Valley, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"B1","first-page":"0","volume-title":"Towards State of the Science in Person-Centred Care","author":"Wolf","year":"2024"},{"key":"B2","first-page":"255","volume-title":"Developing Person-centred cultures in Healthcare Education and Practice\u202f: An Essential Guide","author":"McCormack","year":"2024"},{"key":"B3","author":"Harding","year":"2015"},{"key":"B4","doi-asserted-by":"publisher","first-page":"960","DOI":"10.1186\/S12913-020-05770-W","article-title":"Development and evaluation of the measurement properties of a generic questionnaire measuring patient perceptions of person-centred care","volume":"20","author":"Fridberg","year":"2020","journal-title":"BMC Health Serv Res"},{"key":"B5","doi-asserted-by":"publisher","first-page":"55","DOI":"10.35680\/2372-0247.1270","article-title":"Barriers and enablers of patient and family centred care in an Australian acute care hospital: perspectives of health managers","volume":"5","author":"Lloyd","year":"2018","journal-title":"Patient Exp J"},{"key":"B6","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1111\/scs.12376","article-title":"Barriers and facilitators to the implementation of person-centred care in different healthcare contexts","volume":"31","author":"Moore","year":"2017","journal-title":"Scand J Caring Sci"},{"key":"B7","doi-asserted-by":"publisher","first-page":"CD003267","DOI":"10.1002\/14651858.CD003267.PUB2","article-title":"Interventions for providers to promote a patient-centred approach in clinical consultations","volume":"12","author":"Dwamena","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"B8","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1002\/msc.1448","article-title":"Fostering patient uptake of recommended health services and self-management strategies for musculoskeletal conditions: a delphi study of clinician attributes","volume":"18","author":"O\u2019Leary","year":"2020","journal-title":"Musculoskeletal Care"},{"key":"B9","year":"2017"},{"key":"B10","first-page":"350","volume-title":"Fundamentals of Person-centred healthcare Practice","author":"McCormack","year":"2021"},{"key":"B11","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1177\/13558196211071041","article-title":"Person-centred care and measurement: the more one sees, the better one knows where to look","volume":"27","author":"McCormack","year":"2022","journal-title":"J Health Serv Res Policy"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e027591","DOI":"10.1136\/BMJOPEN-2018-027591","article-title":"Implementation of patient-centred care: which organisational determinants matter from decision maker\u2019s perspective? 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