Getting from “Delivering Care to Patients” to “Partnership with Patients” (original) (raw)

2019

Abstract

The IOM’s call for patients to be the source of control in their care has been represented differently at different times. The patient as the source of control has evolved from the clinician’s taking the patient’s preferences and values into account in designing care to a partnership between the clinician and the patient in making the choices necessary to plan care. This is a particularly challenging standard because both health professionals and many of their patients have been socialized to the model of the doctor leading care. Their difference in knowledge and in their perspective on the patient’s illness makes partnership difficult. This makes partnership challenging, even if the difference in levels of knowledge about the patient’s illness is reduced. Motivational interviewing, shared decision-making, minimally disruptive medicine, addressing health literacy, relationship-centered care, and coaching patients to be more assertive in relating to their physician, each of these app...

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