From person-centered to person-based care: Implications for organizational ethics and innovation
Keywords:
Autonomy, Ethics, Humanistic Psychology, Person-Based Care, Person-Centered CareAbstract
The literature tells us that the concept of person-centered care is based particularly on humanistic psychology and participatory clinical practice, valuing autonomy, empathy, and individual experience. Person-based care seeks the ontological and moral roots of the very act of caring, insofar as the person is the foundation, meaning, and ultimate goal of all ethical and professional action. Historically, the concept of person-centered care emerged with Carl Rogers (1961) and was further developed in nursing by McCormack and McCance (2006, 2017). This model promotes the humanization of practice, recognizing the individual as an active participant in their own health process. However, despite its clinical value, this model can be limited to a methodological or relational approach, without questioning the nature of the human being who is being cared for. Person-based care, on the other hand, introduces an ethical and anthropological depth. It is not merely about placing the person at the center, but about recognizing that care finds its ethical, spiritual, and ontological foundation in the person. In this article, we seek to engage with several authors who address and develop the concepts of person-centered care and person-based care. This paper also explores the implications of person-based care for organizational contexts, particularly in healthcare management, innovation processes, and entrepreneurial ecosystems. By reframing care as an ethical and ontological foundation rather than a procedural model, the study contributes to discussions on value creation, leadership, and responsible innovation in contemporary organizations.
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