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Patient-centered care is the practice of caring for
patients (and their families) in ways that are
meaningful and valuable to the individual patient.
The IOM (Institute of Medicine) defines patient-
centered care as: “Providing care that is respectful of,
and responsive to, individual patient preferences,
needs and values, and ensuring that patient values
guide all clinical decisions.”
Patient-centered care
Overview of Picker’s Eight Principles of Patient Centered Care
1. Respect for patients’
values, preferences and
expressed needs
Involve patients in decision-
making, recognizing they
are individuals with their
own unique values and
preferences. Treat patients
with dignity, respect and
sensitivity to his/her cultural
values and autonomy.
2. Coordination and integration of care
During focus groups, patients expressed
feeling vulnerable and powerless in the face
of illness. Proper coordination of care can
alleviate those feelings. Patients identified
three areas in which care coordination can
reduce feelings of vulnerability:
•Coordination of clinical care
•Coordination of ancillary and support
services
•Coordination of front-line patient care
3. Information and education
In interviews, patients expressed their
worries that they were not being completely
informed about their condition or
prognosis. To counter this fear, hospitals can
focus on three kinds of communication:
•Information on clinical status, progress and
prognosis
•Information on processes of care
•Information to facilitate autonomy, self-care
and health promotion
4. Physical comfort
The level of physical comfort patients
report has a significant impact on their
experience. Three areas were reported
as particularly important to patients:
•Pain management
•Assistance with activities and daily living
needs
•Hospital surroundings and environment
5. Emotional support and alleviation of
fear and anxiety
Fear and anxiety associated with illness can
be as debilitating as the physical effects.
Caregivers should pay particular attention
to:
•Anxiety over physical status, treatment and
prognosis
•Anxiety over the impact of the illness on
themselves and family
•Anxiety over the financial impact of illness
7. Continuity and transition
Patients expressed concern about their ability to
care for themselves after discharge. Meeting
patient needs in this area requires the following:
•Understandable, detailed information regarding
medications, physical limitations, dietary needs,
etc.
•Coordinate and plan ongoing treatment and
services after discharge
•Provide information regarding access to clinical,
social, physical and financial support on a
continuing basis.
8. Access to care
Patients need to know they can access care when it is
needed. Focusing mainly on ambulatory care, the following
areas were of importance to the patient:
•Access to the location of hospitals, clinics and physician
offices
•Availability of transportation
•Ease of scheduling appointments
•Availability of appointments when needed
•Accessibility to specialists or specialty services when a
referral is made
•Clear instructions provided on when and how to get
referrals.
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Patient centered care

  • 1. Patient-centered care is the practice of caring for patients (and their families) in ways that are meaningful and valuable to the individual patient. The IOM (Institute of Medicine) defines patient- centered care as: “Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.” Patient-centered care
  • 2. Overview of Picker’s Eight Principles of Patient Centered Care
  • 3. 1. Respect for patients’ values, preferences and expressed needs Involve patients in decision- making, recognizing they are individuals with their own unique values and preferences. Treat patients with dignity, respect and sensitivity to his/her cultural values and autonomy.
  • 4. 2. Coordination and integration of care During focus groups, patients expressed feeling vulnerable and powerless in the face of illness. Proper coordination of care can alleviate those feelings. Patients identified three areas in which care coordination can reduce feelings of vulnerability: •Coordination of clinical care •Coordination of ancillary and support services •Coordination of front-line patient care
  • 5. 3. Information and education In interviews, patients expressed their worries that they were not being completely informed about their condition or prognosis. To counter this fear, hospitals can focus on three kinds of communication: •Information on clinical status, progress and prognosis •Information on processes of care •Information to facilitate autonomy, self-care and health promotion
  • 6. 4. Physical comfort The level of physical comfort patients report has a significant impact on their experience. Three areas were reported as particularly important to patients: •Pain management •Assistance with activities and daily living needs •Hospital surroundings and environment
  • 7. 5. Emotional support and alleviation of fear and anxiety Fear and anxiety associated with illness can be as debilitating as the physical effects. Caregivers should pay particular attention to: •Anxiety over physical status, treatment and prognosis •Anxiety over the impact of the illness on themselves and family •Anxiety over the financial impact of illness
  • 8. 7. Continuity and transition Patients expressed concern about their ability to care for themselves after discharge. Meeting patient needs in this area requires the following: •Understandable, detailed information regarding medications, physical limitations, dietary needs, etc. •Coordinate and plan ongoing treatment and services after discharge •Provide information regarding access to clinical, social, physical and financial support on a continuing basis.
  • 9. 8. Access to care Patients need to know they can access care when it is needed. Focusing mainly on ambulatory care, the following areas were of importance to the patient: •Access to the location of hospitals, clinics and physician offices •Availability of transportation •Ease of scheduling appointments •Availability of appointments when needed •Accessibility to specialists or specialty services when a referral is made •Clear instructions provided on when and how to get referrals.