Patient-Centered Care Redistributes Responsibility

A program that enables hospital patients to self-administer medications for chronic illnesses is testing old notions about care delivery and safety while creating a system of more efficient care.

5 comments on "Patient-Centered Care Redistributes Responsibility"
Steve Wilkins (5/21/2012 at 10:12 AM)

Let's be very clear here...patient centered care does not mean giving the patient information or teach tjem self care skills. Patient centered care begings with providers tailoring what they say and do to the patient's health perspective, e.g., health beliefs, concerns, experiences, etc. Patient-Centered Care Begins With High Quality Doctor-Patient Communications
John Burik (5/15/2012 at 7:53 AM)

I'm very much for client- or patient-centered care. The potential downside is when the corporate types begin seeing the profit in this and start cutting appropriately trained and licensed staff with the rationale that we're "empowering" patients.
Deb (5/10/2012 at 8:52 PM)

This is an interesting article, well beyond CF. With all the talk about wanting more "enagaged" patients (which typically means people who do what a provider tells them to do); as this article points out when patients are "enaged" and know what they need for their well-being, they're met with resistence. What if instead of "engagement" we were seeking more of a partnership?
Fred J. Pane R.Ph., FASHP (5/10/2012 at 9:04 AM)

I think this is a great idea in Patient Centered Care. In the early 1990's we had implemented a SAM program (self administration of medications) at one hospital I worked at. The goal was to get the patients more involved in knowing their meds, how often they needed to take them, etc. before they were discharged. One of the reasons for re-admissions is issues with medications..compliance, etc. I also think there was a Co-op type model that we visited at NYU at the time and it involved oncology patients? Maybe we need to bring SAMS back for chronic disease patients like CHF, Diabetes, etc.
Dawn Simonds (5/8/2012 at 4:15 PM)

What an interesting article! What I thought most interesting is that the learning from patient-centered care for CF was reciprocal. Not only did the staff become more well-versed and comprehending of the care, but the patients had the opportunity to learn how to optimize their own care. Thanks for the work, and for sharing!


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