Lessons learned on cultural change and managerial competencies for the generation of social and healthcare contexts favorable to person-centered care (PCC)

Literature and experience reflect the difficulty in generalizing cultural change in social and health organizations. The research focuses on revealing the managerial attempts to scale up the good practices generated in the pilot project "Etxean Ondo" through a qualitative and constructivist approach, based on grounded theory and action research.

The aim of this article is to substantiate those organizational keys that have favored the cultural change and managerial competencies necessary for the generation of an organizational context favorable to the ethical framework of Person-Centered Care (PCC).

In addition to a conceptual contribution, a series of practical recommendations are included in the form of "good practices" that the research identifies as key to PCA-friendly management: i) actions related to the informal organization (intersubjective dimension); ii) actions related to the participants (subjective dimension); iii) actions related to the formal organization (objective dimension). The nature of this study is exploratory, but it is hoped that the emerging results will provide food for thought for other managers interested in undertaking organizational transformation.