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Patient-centered care презентация
Содержание
- 1. Patient-centered care
- 2. 1950 – Michael Balint explored ‘illness-centered’ medicine,
- 3. PATIENT-CENTERED CARE: Defined as ‘a philosophy of
- 4. c)“treating patients as partners, involving
- 5. THE SCIENCE OF PATIENT CENTERED CARE
- 6. Bio-psycho-social perspective Patient as a person
- 8. Primary Care Physician Is The Captain Of Ship
- 9. PATIENT CENTERED MODEL Provides description of
- 11. PATIENT-CENTERED METHOD : Six interactive
- 13. Patient centered care is ….
- 15. WHY PRACTICE PATIENT-CENTERED CARE?
- 17. Improved satisfaction for patient and service provider.
- 18. Functional outcome improvement.
- 20. THANK YOU
Слайд 21950 – 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
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
Слайд 3PATIENT-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)
.
(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)
.
Слайд 4
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
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
Слайд 5THE 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
Ronald M, J. Fam. Pract 2000, no 49
Слайд 6Bio-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
Слайд 9PATIENT 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
Simplifies complexity of doctor’s job without distorting it.
Provides a framework for research.
‘method’ operationalize this model
Слайд 11
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.
Understanding the whole person.
Finding common ground regarding management.
Incorporating prevention and health promotion.
Enhancing the patient-doctor relationship.
Being realistic.
Слайд 13
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
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
Слайд 16 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.”
Слайд 17Improved 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.
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.
Слайд 18Functional 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.
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.
