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Everyone on a team or in a system must recognize that one unpleasant or uncaring encounter can have a lasting negative impact on the patient and makes the lives of coworkers who have to deal with an upset patient more difficult.
Also, the patient and clinician must be able to trust the system on which the clinician relies to support high-quality, patient-centered care.
They have no other conflicts of interest to disclose. Just as each patient should reasonably expect care that is free from errors, there is every reason to set a similarly ambitious expectation that every patient will not only receive reliable and error-free care but also will consistently receive patient-centered care—in any health care setting, every time.
Historically, those advocating patient-centered care have focused on the relationship between the patient and the physician or care team.
System-level investments can go a long way toward creating a more humanized care experience, and principles for improving the health care environment have been articulated in the Planetree Model, which aims to shift the health care environment from one designed around the convenience of clinicians to one centered around the patient, with a more personalized and holistic approach.
E-mail: gro. Medical Directors are among the regular interest group participants. Continuity of care: a multidisciplinary review. Group Health has adopted the medical home model systemwide and is endeavoring to fully embed patient-centeredness into the culture and fabric of the organization.
Sevin and colleagues 14 note that becoming a patient-centered, highly functional care team takes deliberate work to define roles and responsibilities, and to ensure that everyone has the necessary information to meet the needs of the patient.
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Table 1 shows the attributes in these three dimensions: interpersonal, clinical, and structural. Because of technologic advances as well as changes in the organization and financing of care delivery, contemporary health care has evolved tremendously since the concept of patient-centeredness was introduced in the late s. Effective communication will facilitate the ability for patient and clinician to find common ground. Med Care. Transforming care teams to provide the best possible patient-centered, collaborative care. We use insights from the literature and illustrative examples collected from Group Health Cooperative Group Health , an integrated health care delivery system in Seattle, WA, to show how the attributes of patient-centered care can be embraced at a systems level. Submit What is Strategic Planning? As a marker of widespread leadership support for this work, patient-centered care was a featured topic of Group Health's annual internal conference targeted to all personnel in our integrated group practice approximately participants in and Why the nation needs a policy push on patient-centered health care. Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials. A parallel may be drawn from the literature on improving reliability in health care. We have the tools, the business case, and the evidence base—now we need the will. What is a Strategic Plan?Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials.
These attributes build on and extend previous conceptualizations of patient-centered care 1216 by explicitly acknowledging the role of the entire health care team, emphasizing new modes of patient-clinician interactions, and characterizing aspects of the health care system beyond the built environment.
References 1.