Document Detail

A framework for making patient-centered care front and center.
MedLine Citation:
PMID:  23012599     Owner:  NLM     Status:  MEDLINE    
The concept of patient-centered care has received increased attention in recent years and is now considered an essential aspiration of high-quality health care systems. 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 1980s. Historically, those advocating patient-centered care have focused on the relationship between the patient and the physician or care team. Although that relationship is still integral, changes to the health care system suggest that a broader range of factors may affect the patient-centeredness of health care experiences. A multidimensional conceptualization of patient-centered care and examples from our health care system illustrate how clinical, structural, and interpersonal attributes can collectively influence the patient's experience. The proposed framework is designed to enable any health system to identify ways in which care could be more patient-centered and move toward a goal of making it a "systems property."
Sarah M Greene; Leah Tuzzio; Dan Cherkin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Permanente journal     Volume:  16     ISSN:  1552-5775     ISO Abbreviation:  Perm J     Publication Date:  2012  
Date Detail:
Created Date:  2012-09-26     Completed Date:  2013-02-26     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  9800474     Medline TA:  Perm J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  49-53     Citation Subset:  IM    
Group Health Cooperative, Seattle, WA, USA.
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MeSH Terms
Concept Formation
Delivery of Health Care*
Patient-Centered Care*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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