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The effectiveness of Person-Centred Care in South Africa: A Retrospective Qualitative Investigation of Speech-Language Therapists’ Perspectives [PCC275]

Wednesday May 6, 2026 12:15 - 17:00 Poster Arena

Presenter: Juan Bornman

Track: Poster session, Implementation & Knowledge Translation

Background:  Person-centered care (PCC) is internationally recognized as a gold-standard approach in healthcare, foregrounding the value of the patient’s voice. It promotes respect for their unique needs, values, and preferences while encouraging shared decision-making between healthcare providers and patients. In the field of speech-language therapy, PCC is essential for ethical, collaborative, and culturally responsive practice. However, the feasibility of implementing PCC in South Africa, a country characterized by linguistic diversity, systemic inequities, and limited resources, remains underexplored. Understanding how speech-language therapists conceptualize and enact PCC in this context is crucial for developing relevant care models. Aim: This study aimed to investigate the perspectives of South African SLTs regarding the barriers and enablers to implementing PCC within their clinical practice. Methods: A retrospective qualitative design was employed. Phase 1 involved thematic analysis of written field notes collected during a professional debate at a national conference on the feasibility of PCC implementation within a South African context. Phase 2 built on Phase 1 and aimed to further validate and expand these findings through semi-structured interviews with practicing SLTs from both the public and private sectors across South Africa. Purposive maximum variation sampling was used (considering age, gender, experience, setting, etc.) to explore common themes that cut across diversity. Data were analysed thematically, following Braun and Clarke’s (2006) six-phase framework. Preliminary Findings: Initial analysis indicated that while SLTs supported the principles of PCC, they encountered challenges such as high caseloads, language barriers, and rigid service models. Enablers for implementing PCC included interprofessional collaboration, cultural humility, and supportive workplace environments. Conclusion: These findings highlight both the aspirations and complexities of practicing PCC in South Africa. They underscore the need for systemic and educational strategies to enhance clinicians' capacity for ethically grounded and contextually responsive care. Keywords: person-centered care, speech-language therapy, South Africa,  professional perspective.
Language

English

Conference

GCPCC

GCPCC Code

PCC275

Lecturers

Juan Bornman Presenter

Samantha Bassingthwaighte, Gert Koekemoer, Emma Forsgren, Juan Bornman