Patient Centered Care - A Conceptual Model and Review of the State of the Art

Abstract

Abstract:Background: Patient-centered care that encompasses informed decision making can improve treatment choice, quality of care and outcomes. Patient-centered care recognizes the need for major changes in the process of care that arranges health care system around the patient.Objective: Study objective was to evaluate and discuss the interplay of components of patient-centered care by developing a conceptual model of patient-centered care.Methods: Comprehensive literature review was conducted using Medline, CINAHL, and Cochrane databases. Included were English language studies addressing issues related to patient-centered-care and patient reported outcomes.Results: Though the concept of patient-centered care emerged in the early 50s, it exploded in the health care research policy arena exponentially in the late nineties. The conceptual model described here can aid objective and subjective evaluation of patient-centered care. As we strive to improve the quality of care, patient-centered care can play a pivotal role in this process. This however requires changes in our healthcare system so as to improve overall quality of care by minimizing wasteful health resource consumption. Conclusions:With healthcare costs projected to continue their rapid increase, the current paradigm of healthcare is unsustainable. More research is needed to explore the various attributes of patient-centered care, its acceptability, and comparative effectiveness in the healthcare arena.

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

“…In the patient's characteristics, there was no significant differ-www.kan.or.kr and understanding between the patient, family, and healthcare provider to maximize the effectiveness, feasibility, and, eventually, the quality of nursing care [12,14].…”

“…The recently developed concept of patient-centered intervention emphasizes: 1) the individual patient's preferences, needs, and values; 2) the interaction between patients, family caregivers, and healthcare providers; and 3) patient-participation in treatment plan and lifestyle modification [11,12]. Recently, patient-and family-centered intervention studies have been conducted, demonstrating the effects of improving things such as patients' and family caregivers' quality of life, efficiency, knowledge, and satisfaction [13,14].Combining CPR training and patient-centered intervention, family caregivers would learn how to manage the patient's cardiovascular disease in daily life and how to respond to a cardiovascular emergency. This would increase the knowledge, motivation, and confidence of family caregivers.…”

Suggested improvements of the general cardiology ward round – An opinion paper

“…[8] However, patients do not always receive sufficient information from physicians to enable them to make informed decisions. For example, according to one study, only 3% of patients with stable angina received sufficient information to make an informed decision about undergoing coronary angiography and possible subsequent percutaneous coronary intervention.…”

Article Commentary: Psychiatric Issues in Palliative Care: Assessing Mental Capacity

“…It is also an integral part of patient-centered approaches to healthcare delivery 2. Patient centeredness is crucial because through it clinicians can promote a collaborative partnership with patients during decision making 3. By adopting a patient-centered approach, better outcomes, increased satisfaction and a better quality of life may be achieved 1,3,4.…”