Patient-centered care

Patient-centered care is an approach to the planning, delivery, and evaluation of health care. It is based on the idea of establishing a mutually beneficial partnership between health care providers and patients. By forging this partnership, patient-centered care is designed to facilitate patient outcomes and experiences while reducing costly or unnecessary diagnostic testing, medications, hospital stays, and physician referrals. The approach is applicable to all provider types and medical specialties. The effectiveness of care in the patient-centered model is assessed through patient consultation and reporting rather than by way of physician-centric tools and standards employed under provider-based health care systems.

89677604-58579.jpg

Overview

One of the primary tenets of patient-centered care is that patients are the best judges of how well their health care providers are meeting their needs. Recognizing that the patient’s perspective is tied closely to patient outcomes and satisfaction, the patient-centered care model emphasizes the importance of physicians listening to and respecting the values and opinions of their patients and incorporating consideration of those viewpoints into the delivery of care. Toward that end, health care providers practicing patient-centered care typically have systems in place, such as online surveys, to measure patient perceptions on an ongoing basis.

In addition to soliciting information from patients, the model of patient-centered care also requires physicians to provide candid information back to their patients. In other words, the model stipulates that patients should receive timely, accurate, and complete information to be sure they are sufficiently informed and prepared to effectively engage in their own health decisions and care.

Under the patient-centered care model, patients and their families or caregivers are actively encouraged to participate in their own care. More broadly, the model also enables patients and their support network to collaborate with health care leaders and institutions in regard to the development and evaluation of health care policies and programs, design of medical care facilities, and implementation of professional health care education.

By engaging in effective communication, showing empathy, and forging a trusting partnership with their patients, practitioners can not only improve patient satisfaction, but also patient outcomes as well. That is because physicians who educate and accommodate their patients are able to improve patient compliance regarding treatment and disease management. The enhanced compliance and open physician-patient relationship also help to reduce overall health care costs by shrinking the need for expensive prescriptions, medical tests, and hospitalizations arising from potential knowledge gaps and process requirements under the physician-versus-patient model of care.

The widespread availability of patient-centered care is somewhat limited by existing structures of physician practice and reimbursement. For example, many primary care physicians are reimbursed per patient encounter rather than on quality of care, pushing many to emphasize patient volumes at the expense of patient service. At the same time, a trend toward expanding the base of generalist health care providers, such as hospitalists who have no established relationship with the patient, further strays from the basic tenets of patient-centered care.

Bibliography

Cipolle, Robert J., Linda Strand, and Peter Morely. Pharmaceutical Care Practice: The Patient-Centered Approach to Medication Management. 3rd ed. McGraw, 2012.

Finn, Nancy. “Patient-Centered Care.” E-Patients Live Longer: The Complete Guide to Managing Health Care Using Technology. iUniverse, 2011.

Forman, Harriet. Nursing Leadership for Patient-Centered Care: Authenticity, Presence, Intuition, Expertise. Springer, 2011.

Frezza, Eldo. Patient-Centered Healthcare: Transforming the Relationship between Physicians and Patients. Productivity Press, 2020.

Hart, Valerie. “Patient-Centered Care.” Patient-Provider Communications: Caring to Listen. Jones, 2010, pp. 8–17.

Joint Commission on Healthcare Accreditation Organizations. Patients As Partners: How to Involve Patients and Families in Their Own Care. Ed. Meghan McGreevey. Joint Commission Resources, 2006.

Patient Advocacy for Health Care Quality: Strategies for Achieving Patient-Centered Care. Eds. Jo Anne Earp, Elizabeth French, and Melissa Gilkey. Jones, 2008.

Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. Eds. Margaret Gerteis, Susan Edgman-Levitan, Jennifer Daley, and Thomas L. Delbanco. Wiley, 2002.

Vorvick, Linda J. "Shared Decision Making." MedlinePlus, NIH National Library of Medicine, 11 Aug. 2022, medlineplus.gov/ency/patientinstructions/000877.htm. Accessed 30 July 2024.