Patient-Centered Care or Patient-Centered Health?

2016 ◽  
Author(s):  
Mark D. Sullivan
Keyword(s):  
Chronic Care Model ◽  
Chronic Care ◽  
Patient Empowerment ◽  
Patient Centered Care ◽  
Management Program ◽  
Care Model ◽  
Patient Centered ◽  
Patient’S Perspective ◽  
Centered Care ◽  
Patient Centered Medicine

The history of proposals for patient-centered medicine begins with Michael Balint’s proposal for patient-centered medicine as an alternative to illness-centered medicine. This has been weakened in more recent calls for patient-centered care from clinicians, foundations, and professional organizations. It is argued that patient-centeredness consists of both taking the patient’s perspective and activating the patient. Taking the patient’s perspective involves communication skills and may involve developing a “shared mind” with the patient. Two programs for activating patients are contrasted, 1) the Expert Patient program based on the Chronic Disease Self-Management Program of Lorig and Holman and 2) the Patient-Centered Medical Home based on the Chronic Care Model developed by Wagner and colleagues. Patient empowerment involves activating patients on their own behalf and in service of their own goals. A truly patient-centered chronic care model aims not only for patient empowerment, but also for patient capability to pursue health and other vital goals.

scholarly journals Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study

2021 ◽  
Vol 14 ◽  
pp. 117863292110224
Author(s):  
Lisanne I van Lier ◽  
Henriëtte G van der Roest ◽  
Vjenka Garms-Homolová ◽  
Graziano Onder ◽  
Pálmi V Jónsson ◽  
...  
Keyword(s):  
Home Care ◽  
Patient Centered Care ◽  
Mean Difference ◽  
Care Model ◽  
Patient Centered ◽  
Societal Costs ◽  
Centered Care ◽  
Care Models ◽  
Prospective Longitudinal ◽  
Care Performance

This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.

scholarly journals Interjúvezetési stratégiák a betegkikérdezésben: az asszertív kommunikáció és empátia nyelvi eszközei rossz hír közlésekor

Porta Lingua ◽  
2020 ◽  
pp. 481-496
Author(s):  
Judit Szalai-Szolcsányi
Keyword(s):  
Patient Centered Care ◽  
Patient Centered ◽  
Professional Interaction ◽  
Patient’S Perspective ◽  
Centered Care

A tanulmány egy kutatási tervezet bemutatása, mely az orvos-beteg interakciók alkalmazott nyelvészeti, és pszichológiai elemzése által azokat a nyelvi eszközöket kívánja meghatározni, amelyek fejlesztése növeli az orvos együttműködési készségét, empatikus ráhangolódását a betegre, így elősegítve a gyógyulás folyamatát. A vizsgálatban résztvevő orvostanhallgatók több hetes elméleti oktatás és gyakorlat elsajátítása után kapták a feladatot, hogy szimulált helyzetben közöljék a rossz hírt a beteget eljátszó színésszel. A megfigyelt interakciók során a kommunikációs folyamat fókuszában az empátia megjelenése és annak tudatos használata volt. Ennek mérésére egy empátia skálát alkalmaztunk. A vizsgálat során a szimulált orvos-beteg interakciót követően, a beteget játszó résztvevők kitöltötték az empátia-skálát, melyet annak mérésére hoztak létre, hogy az adott kommunikációs helyzetben mennyire valósult meg az empatikus párbeszéd. Az eredeti empátia-skála angol nyelven jelent meg. A kérdőív neve: „The Patient-Professional Interaction Questionnaire (PPIQ) to Assess Patient Centered Care from the Patient’s Perspective” (Casu – Sommaruga – Gremigni, 2018). Mivel ez a teszt hatékonyan méri az orvos-beteg interakció során megvalósult empatikus kommunikációt és mind magyar, mind angol nyelven elérhető, így nagyon jól használható a szimulált betegek kikérdezésére az angol és magyar nyelvű kurzusokon. Jelen tanulmány az angol program orvostanhallgatóinak interakcióit vizsgálta.

Baseline evaluation of the patient-centered oncology care model.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 50-50
Author(s):  
Manasi A. Tirodkar ◽  
Sarah Hudson Scholle
Keyword(s):  
Patient Centered Care ◽  
Care Planning ◽  
Coordinated Care ◽  
Motivation To Change ◽  
Care Model ◽  
Patient Centered ◽  
Centered Care ◽  
Oncology Care ◽  
The Impact ◽  
The Way

50 Background: The patient-centered medical home (PCMH) model of care is being widely adopted as a way to provide accessible, proactive, coordinated care and self-care through primary care practices. During active treatment for cancer, the oncology practice is often the primary setting supporting the patient and coordinating cancer treatment. For this project, we are implementing a Patient-centered Oncology Care model in five oncology practices and evaluating the impact on cost, quality, and patient experiences. Methods: To determine the structures and processes present in the practices at baseline, we conducted a self-assessment on the standards, followed with an on-site “audit” for compliance with the standards. To get a sense for organizational culture and motivation to change, we conducted site visits which included interviews with providers, staff and patients and observation of clinical encounters and workflow. Results: Among the highest priority structures and processes, the most common were telephone triage, symptom management, advance care planning, and the use of evidence-based guidelines. The least common were patient/family orientation, availability of same day appointments, discussion and documentation of goals of therapy, symptom assessment, and tracking of appointments. All of the practices had made patient-centered care a priority and staff were motivated to change. There was variation in the way providers and the care team used health information technology during clinical workflow. There was also variation in which staff coordinated care for patients and whether or not financial counseling was offered. All of the practices stated that they needed to work on implementing survivorship care planning, shared decision-making, and patient engagement in quality improvement and practice transformation Conclusions: The pilot oncology practices have many structures and processes in common. However, there is little standardization within practices in the way these processes are established and documented. Practices vary in how they are implementing patient-centered care processes. However, with motivation to change, staff and providers are actively engaged in the transformation process.

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