Showing posts with label patient centered care. Show all posts
Showing posts with label patient centered care. Show all posts
Monday, May 07, 2012
Thursday, May 03, 2012
Patient empowerment—who empowers whom? : The Lancet
Patient empowerment—who empowers whom? : The Lancet
Wednesday, April 25, 2012
Wednesday, March 28, 2012
ScienceDirect.com - Journal of Pain and Symptom Management - Talking About End-of-Life Preferences With Advanced Cancer Patients: Factors Influencing Feasibility
ScienceDirect.com - Journal of Pain and Symptom Management - Talking About End-of-Life Preferences With Advanced Cancer Patients: Factors Influencing Feasibility
Conclusion
Results
indicate that discussing end-of-life preferences in an earlier disease
phase, such as in the OU (outpatient) setting, could be preferable but that its
accomplishment in this setting may be more difficult, mainly as a result
of organizational reasons. This observation could indicate that the
system is not yet ready to offer patients such an opportunity and
although communication on these sensitive issues cannot be reduced to a
procedure, the ELPI can become a useful tool to help physicians in
accomplishing this difficult task.
Monday, March 12, 2012
Association of Patient-Centered Outcomes With Patient-Reported and ICD-9–Based Morbidity Measures
Association of Patient-Centered Outcomes With Patient-Reported and ICD-9–Based Morbidity Measures
CONCLUSIONS
"A comprehensive assessment of morbidity requires both subjective and objective measurement of disease burden as well as an assessment of emotional symptoms. Such multidimensional morbidity measurement is particularly relevant for research or quality assessments involving the delivery of patient-centered care to complex patient populations."
Wednesday, March 07, 2012
Defining “Patient-Centered Medicine” — NEJM comments open until March 8th
Defining “Patient-Centered Medicine” — NEJM
Perspective
Defining “Patient-Centered Medicine”
N Engl J Med 2012; 366:782-783March 1, 2012
Comments
open through March 8, 2012 - Article
- References
- Comments (19)
Thursday, March 01, 2012
open access - 4 articles: Shared Decision Making — The Pinnacle of Patient-Centered Care NEJM
Perspective
D.B. Reuben and M.E. Tinetti
- Free Full Text
- Comments
M.J. Barry and S. Edgman-Levitan
- Free Full Text
- Audio Interview
- Comments
Friday, January 13, 2012
abstract: What do we know about patients' perceptions of continuity of care? A meta-synthesis of qualitative studies
Abstract
Objective The increasing complexity in healthcare delivery might impede the achievement of continuity of care, being defined as ‘one patient experiencing care over time as coherent and linked’. This article aims to improve the knowledge on patients' perceptions of relational (RC), informational (IC) and management continuity (MC) across care levels.
Results The selected 25 studies most frequently investigated RC. Being attended to regularly and over time by one physician (RC) was valued by chronic ill patients, but balanced with convenient access by young patients (MC). Communication and information transfer across care settings as well as the gathering of holistic information about the patient were perceived to foster IC. Critical features for achieving MC were accessibility between care levels, individualized care and a smooth discharge process including the receipt of support. Patients further considered that their personal involvement was one facilitating element of continuity of care.
Monday, January 09, 2012
Editorial: Canadian Medical Association - Early and continuing education: a prescription for achieving patient-centred care
"....It thus seems likely that bringing the patient’s perspective into the system isn’t enough to achieve the health outcomes people want and expect.
Even a perfect system won’t work if patients don’t know how to access it effectively. No matter what resources are available, lack of knowledge about what resources exist — both within and outside the health care system — and how to access them keeps people from receiving what they need when they need it. Also, our failure to help patients adequately understand their disease and its treatment underlies much of the suboptimal adherence to treatment that leads to otherwise preventable outcomes......"
Wednesday, March 23, 2011
(worth reading) Editorial: The Values and Value of Patient-Centered Care -- Epstein and Street 9 (2): 100 -- Annals of Family Medicine
"The originators of client-centered and patient-centered health care were well aware of the moral implications of their work, which was based on deep respect for patients as unique living beings, and the obligation to care for them on their terms. Thus, patients are known as persons in context of their own social worlds, listened to, informed, respected, and involved in their care—and their wishes are honored (but not mindlessly enacted) during their health care journey.2–6 There have been concerns that patient-centered care, with its focus on individual needs, might be at odds with an evidence-based approach, which tends to focus on populations. Fortunately, that debate has been laid to rest; proponents of evidence-based medicine now accept that a good outcome must be defined in terms of what is meaningful and valuable to the individual patient.7 Patient-centered care, as does evidence-based medicine, considers both the art of generalizations and the science of particulars.8"
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