Patient NON-CENTERED care is a physician looking at a computer rather than the patient, not letting the patient have a minute to express what they are concerned about or not making follow up appointments for diabetes. Patient centered care is better care.
The International Alliance of Patients’ Organizations (IAPO) has listed the “Five Principles” of patient centered care. The list includes:
- Choice and empowerment
- Patient involvement in health policy
- Access and support
Four cultural phenomena are at the root of the patient-centered movement.
- Doctors are not always right and communicate poorly.
- One third of US citizens are illiterate about health issues.
- The Internet has exposed items 1 and 2.
- People are wary of the government changing the healthcare system
The slippery slope for many patients starts when doctors tell patients what to do, patients don’t know enough to ask questions, treatment is given , advice is not followed and the outcome is not what the patient wanted.
Patient-centered care may be the solution. Focus on the provider-patient interaction, improve provider-patient communication, educate the patient about the problems at hand, and let the patient have a larger say in their own health care.
There is a political side to patient-centered care which is the battle between the public good and the patient’s wishes. There is plenty of work to be done at the point of interaction between the provider and the patient. Worry over fluoride in the water, organic vegetables and workplace dangers are different topics, important, but not patient-centered care.
The insinuation fee-for-service medicine is somehow more patient-centered than other health-care systems is not logical. No matter what health care system is in place the notions of good communication, patient education and patient autonomy remain critically important.
Patients will suffer the consequences of their decisions. So, providers should never agree to bad medical care. The purpose of patient-centered care is not to “give the patient what they want”. But, rather to listen to the voice of the patient, communicate the best evidence-based guidelines and be a partner with the patient to make good decisions.