Patient-centered care

Июль 22, 2022

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Patient-centered care

Содержание

2. 1950 – Michael Balint explored ‘illness-centered’ medicine, conventional method inadequate to reach deep understanding of patient
3. PATIENT-CENTERED CARE: Defined as ‘a philosophy of care that encourages: shared control of the consultation, decisions
4. c)“treating patients as partners, involving them in planning their health care and encouraging them to take
5. THE SCIENCE OF PATIENT CENTERED CARE “The process of healing depends on knowing the patient as
6. Bio-psycho-social perspective Patient as a person Sharing power and responsibility Therapeutic alliance Doctor as person Peter
8. Primary Care Physician Is The Captain Of Ship
9. PATIENT CENTERED MODEL Provides description of specific behaviors needed to be learned and when/how to use
11. PATIENT-CENTERED METHOD : Six interactive components: Exploring both the disease and the illness experience. Understanding the
13. Patient centered care is …. Not a strictly defined process, sequential stages, standardized procedures or interviewing
15. WHY PRACTICE PATIENT-CENTERED CARE?
16. Dr.Martanda Verma has said very aptly, “We must adopt an integrated approach. The integrated holistic approach
17. Improved satisfaction for patient and service provider. Patient-centered approach have positive relationship with patient recovery, emotional
18. Functional outcome improvement. Research shows fewer limitations imposed by the disease on patient functional ability. Decreased
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1950 – Michael Balint explored ‘illness-centered’ medicine, conventional method inadequate to

reach deep understanding of patient illness.
1964 – Balint dev. Concepts of ‘attentive’ listening and responding to patient offers.
1970 – Ian R. Mc Whiney – patient-centered care medical model
1986 – Levenstein et al evaluated and formulated patient centered as clinical method

HISTORY

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PATIENT-CENTERED CARE:
Defined as ‘a philosophy of care that encourages:
shared control of

the consultation, decisions about intervention or management of the health problems with the patient, and/or
(b) a focus in the consultation on the patient as a whole who has individual preferences situated within social context’ (in contrast to a focus in the consultation on a body part or disease)
.

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c)“treating patients as partners, involving them in planning their health care

and encouraging them to take responsibility for their own health”
d)help your patients become medical decision makers who take an active role in their own care’
Cochrane review, issue 2, 2003 & Lowes R. 1998. Patient-centered care for better patient adherence. Fam. Prac. Management

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THE SCIENCE OF PATIENT CENTERED CARE
“The process of healing depends on

knowing the patient as a person, in addition to accurately diagnosing their disease.”
Ronald M, J. Fam. Pract 2000, no 49

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Bio-psycho-social perspective
Patient as a person
Sharing power and responsibility
Therapeutic alliance
Doctor as person
Peter

C et al: Analysis of large cohort BMJ 2002;325:691-692

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Primary Care Physician Is The Captain Of Ship

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PATIENT CENTERED MODEL
Provides description of specific behaviors needed to be learned

and when/how to use them with patients.
Simplifies complexity of doctor’s job without distorting it.
Provides a framework for research.
‘method’ operationalize this model

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PATIENT-CENTERED METHOD :
Six interactive components:
Exploring both the disease and the illness

experience.
Understanding the whole person.
Finding common ground regarding management.
Incorporating prevention and health promotion.
Enhancing the patient-doctor relationship.
Being realistic.

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Patient centered care is ….
Not a strictly defined process, sequential stages,

standardized procedures or interviewing styles
Though presented separately, reality – interwoven.
Varies from patient to patient.
Learning is different from acquiring the process.
When performing focally aware of the whole process, not the components

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WHY PRACTICE PATIENT-CENTERED CARE?

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Dr.Martanda Verma has said very aptly, “We must adopt an

integrated approach. The integrated holistic approach is twice blessed. It blesses the healer as well as healed.”

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Improved satisfaction for patient and service provider.
Patient-centered approach have positive

relationship with patient recovery, emotional health, physical function and physiologic outcome and treatment satisfaction.
Improved adherence.
Research shows patients more likely to take their pills, lay off sour cream, show up for appointment thus a better patient adherence.
Evidence that patient-centered communication skills promote adherence.

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Functional outcome improvement.
Research shows fewer limitations imposed by the disease

on patient functional ability.
Decreased litigation
Studies demonstrated that physicians behave like devaluing patients views, delivering information poorly, failing to be attentive to patients perspective often face malpractice claims.

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Patient-centered care

Содержание

1950 – Michael Balint explored ‘illness-centered’ medicine, conventional method inadequate to

PATIENT-CENTERED CARE:Defined as ‘a philosophy of care that encourages:shared control of

c)“treating patients as partners, involving them in planning their health care

THE SCIENCE OF PATIENT CENTERED CARE“The process of healing depends on

Bio-psycho-social perspectivePatient as a personSharing power and responsibilityTherapeutic allianceDoctor as personPeter

Primary Care Physician Is The Captain Of Ship

PATIENT CENTERED MODELProvides description of specific behaviors needed to be learned

PATIENT-CENTERED METHOD :Six interactive components:Exploring both the disease and the illness

Patient centered care is ….Not a strictly defined process, sequential stages,