Patient- and Family-Centered Care: A Systematic Approach to Better Ethics and Care (original) (raw)
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A model of patient-centred care – turning good care into patient-centred care
British Dental Journal, 2014
six) and experiencing care that is tailored to their needs and personal preferences (principle nine). Although both the academic literature and practical recommendations to clinicians through NICE endorse PCC, the extent to which these ideas have truly transferred into medicine or dentistry remains unknown. The UK General Dental Council (GDC) Standards for the dental team, 5 for instance, set out the principles that the dental team should follow. The principles are fairly prescriptive and the Council's recommendation is that these principles should influence all areas of practice. Within this GDC document, standard two is about 'respecting patients' dignity and choices'. Here, it is explicitly stated that the dental team should 'recognise and promote patients' responsibility for making decisions about their bodies, their priorities and their care…' 5 The above statement, although making explicit the need for dental professionals to be patient-centred in a way that patients are encouraged to have some responsibility about decision-making in a dental consultation, does not clearly identify the details of this process. It further fails to differentiate between different contexts and professionals or give examples of how GDC members might implement this standard in day-today clinical practice. This has implications for a team seeking to provide PCC. Many of the papers published in the dental literature that explicitly talk about PCC use the term to refer to provision of care that is holistic
Health Communication, 2017
There is limited evidence of the extent to which Healthcare professionals implement patient-centered care (PCC) and of the factors influencing their PCC practices in acute care organizations. This study aimed to (1) examine the practices reported by health professionals (physicians, nurses, social workers, other healthcare providers) in relation to three PCC components (holistic, collaborative, and responsive care), and (2) explore the association of professionals' characteristics (gender, work experience) and a contextual factor (caseload), with the professionals' PCC practices. Data were obtained from a large scale cross-sectional study, conducted in 18 hospitals in Ontario, Canada. Consenting professionals (n = 382) completed a self-report instrument assessing the three PCC components and responded to standard questions inquiring about their characteristics and workload. Small differences were found in the PCC practices across professional groups: (1) physicians reported higher levels of enacting the holistic care component; (2) physicians, other healthcare providers, and social workers reported implementing higher levels of the collaborative care component; and (3) physicians, nurses, and other healthcare providers reported higher levels of providing responsive care. Caseload influenced holistic care practices. Interprofessional education and training strategies are needed to clarify and address professional differences in valuing and practicing PCC components. Clinical guidelines can be revised to enable professionals to engage patients in care-related decisions, customize patient care, and promote interprofessional collaboration in planning and implementing PCC. Additional research is warranted to determine the influence of professional, patient, and other contextual factors on professionals' PCC practices in acute care hospitals. Worldwide, patient-centered care (PCC) is acknowledged as an effective approach for providing high-quality care across primary, acute, and long-term care settings (World Health Organization, 2007). PCC focuses on the whole person and consists of respecting the patients' needs and preferences, and of delivering care that is responsive to their needs and preferences (Institute of Medicine, 2001). Results of systematic reviews have reported a number of advantages of PCC. PCC facilitates patients' engagement in care-related decisions, involvement in and adherence to their plan of care, which, in turn, lead to enhanced satisfaction with care and improved outcomes (Rathert, Wyrwich, & Boren, 2013; Rocco, Scher, Basberg, Yalamanchi, & Baker-Genaw, 2011). The implementation of PCC can promote professionals' job satisfaction, reduce malpractice complaints (Hudon, Fortin, Haggerty, & Poitras, 2011), and decrease healthcare costs (Rathert et al., 2013). These benefits have been translated into the generation of policies that support PCC in many countries, including the United States and the United Kingdom (Richards, Coulter, & Wicks, 2015). Accordingly, a growing number of healthcare organizations are embracing PCC, as reflected in their vision statements that inform the design and implementation of services and guide the practices of professional groups.
A Systematic Approach to Understanding and Implementing Patient-Centered Care
Family Medicine, 2019
In 2014, Family Medicine for America’s Health (FMAHealth) began implementing a specialty-wide strategic plan. The FMAHealth Board of Directors created an Engagement Tactic Team and charged the team with two major objectives: (1) to engage patients as partners in transforming primary care, and (2) to strengthen working alliances with other primary care professions and key stakeholders to speak with a unified voice for primary care. The team’s first objective sought to engage patients as partners to achieve the triple aim. The second objective required the team to explore how best to collaborate with others to align on core values of high-functioning primary care.When it comes to realizing the promise of patient-centered care, aspirational strategic objectives are often easier to declare than to implement. As the team grappled with its charge, it discovered that the approach to achieving each objective became as important as the actions required to accomplish them. The team recognized...
Why The Nation Needs A Policy Push On Patient-Centered Health Care
Health Affairs, 2010
The phrase "patient-centered care" is in vogue, but its meaning is poorly understood. This article describes patient-centered care, why it matters, and how policy makers can advance it in practice. Ultimately, patient-centered care is determined by the quality of interactions between patients and clinicians. The evidence shows that patient-centered care improves disease outcomes and quality of life, and that it is critical to addressing racial, ethnic, and socioeconomic disparities in health care and health outcomes. Policy makers need to look beyond such areas as health information technology to shape a coordinated and focused national policy in support of patient-centered care. This policy should help health professionals acquire and maintain skills related to patientcentered care, and it should encourage organizations to cultivate a culture of patient-centeredness.
The Patient - Patient-Centered Outcomes Research, 2020
Dissatisfaction with past research and health care decision making that is not relevant or responsive to patient needs and preferences has led to a movement toward patient centricity in the US and around the world [1]. 'Patient centricity' and 'patient centeredness' broadly refer to any process, program or decision focused on patients in which patients play an active role as meaningfully engaged participants (not simply as study subjects) [2], and 'patient-centered health care' is defined as "care that is respectful of and responsive to individual patient preferences, needs, and values in the context of their own social worlds [3]." Patient centeredness is created by engaging, informing, and actively listening to people with chronic conditions at every point of contact-from the research bench to the bedside and everywhere in between [4]. This shift toward patient centricity has been exemplified by patient groups, professional organizations, as well as bodies such as the Patient-Centered Outcomes Research Institute (PCORI), who emphasize the importance of patientprioritized research questions in their funding decisions, and the US Food and Drug Administration's evolving patientfocused medical product development initiatives, such as the Patient-Focused Drug Development (PFDD) initiative and the Patient Engagement Advisory Committee (PEAC) for medical devices [5-7].
Patient-Centered Care: A Panacea to Quality Health Care Delivery
CERN European Organization for Nuclear Research - Zenodo, 2022
Patients' satisfaction with quality of care is viewed as the extent to which the patients' desired expectations, objectives and preferences are achieved via their interaction with health care workers, nurses inclusive. Patient-Centred-Care represents a paradigm shift in how patients, providers, and other participants think about the processes of treatment and healing. The aim of patient-centered health care is to enable patients to be active participants in their care. The patient-centered care is hinged on a holistic approach to health care that considers the whole person instead of in a narrow perspective where the emphasis lies on the illness or the symptoms. Patient centred approach via partnership between patient and the health care workforce is therefore recommended for quality health care delivery in our hospitals.