Why the nation needs a policy push on patient-centered health care.

The phrase "patient-centered care" is in vogue, but its meaning is poorly understood. This article describes patient-centered care, why it matters, and how policy makers can advance it in practice. Ultimately, patient-centered care is determined by the quality of interactions between patients and clinicians. The evidence shows that patient-centered care improves disease outcomes and quality of life, and that it is critical to addressing racial, ethnic, and socioeconomic disparities in health care and health outcomes. Policy makers need to look beyond such areas as health information technology to shape a coordinated and focused national policy in support of patient-centered care. This policy should help health professionals acquire and maintain skills related to patient-centered care, and it should encourage organizations to cultivate a culture of patient-centeredness.

[1]  D Davies,et al.  Preferences for different sources of information about cancer. , 1999, Patient education and counseling.

[2]  Norbert Schwarz,et al.  Misimagining the unimaginable: the disability paradox and health care decision making. , 2005, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[3]  T. Delbanco,et al.  Through the Patientʼs Eyes: Understanding and Promoting Patient-Centered Care , 1997 .

[4]  K C Stange,et al.  The impact of insurance type and forced discontinuity on the delivery of primary care. , 1997, The Journal of family practice.

[5]  M. Ryn,et al.  Research on the provider contribution to race/ethnicity disparities in medical care. , 2002 .

[6]  Paul Haidet,et al.  Reconsidering the team concept: educational implications for patient-centered cancer care. , 2009, Patient education and counseling.

[7]  Richard L Street,et al.  Mediated consumer-provider communication in cancer care: the empowering potential of new technologies. , 2003, Patient education and counseling.

[8]  M. van Ryn,et al.  Research on the Provider Contribution to Race/Ethnicity Disparities in Medical Care , 2002, Medical care.

[9]  M. Holmes-Rovner,et al.  Interventions for providers to promote a patient-centred approach in clinical consultations. , 2002, The Cochrane database of systematic reviews.

[10]  David Heaney,et al.  The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. , 2004, Family practice.

[11]  J G R Howie,et al.  Quality, core values and the general practice consultation: issues of definition, measurement and delivery. , 2004, Family practice.

[12]  R. Epstein,et al.  How does communication heal? Pathways linking clinician–patient communication to health outcomes , 2022 .

[13]  A. Edwards,et al.  Interventions before consultations for helping patients address their information needs. , 2007, The Cochrane database of systematic reviews.

[14]  P. Butow,et al.  Promoting patient participation and shortening cancer consultations: a randomised trial , 2001, British Journal of Cancer.

[15]  P. Bower,et al.  Patient-centred consultations and outcomes in primary care: a review of the literature. , 2002, Patient education and counseling.

[16]  J. Griggs,et al.  Patient-centered care and breast cancer survivors' satisfaction with information. , 2005, Patient education and counseling.

[17]  J P Mullooly,et al.  Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. , 1997, JAMA.

[18]  V. Entwistle,et al.  Interventions for providers to promote a patient-centred approach in clinical consultations (Review) , 2018 .

[19]  Richard L. Street,et al.  Patient-centered communication in cancer care: Promoting healing and reducing suffering , 2007 .

[20]  R. Epstein,et al.  Measuring patient-centered communication in patient-physician consultations: theoretical and practical issues. , 2005, Social science & medicine.

[21]  M. Stewart,et al.  The impact of patient-centered care on outcomes. , 2000, The Journal of family practice.

[22]  M. Stewart Towards a global definition of patient centred care , 2001, BMJ : British Medical Journal.

[23]  S. Kaplan,et al.  Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease , 1989, Medical care.

[24]  T. Quill,et al.  Nonabandonment: A Central Obligation for Physicians , 1995, Annals of Internal Medicine.

[25]  L. Cooper A 41-year-old African American man with poorly controlled hypertension: review of patient and physician factors related to hypertension treatment adherence. , 2009, JAMA.

[26]  Susan A. Flocke,et al.  Defining and Measuring the Patient-Centered Medical Home , 2010, Journal of General Internal Medicine.

[27]  Hong Chang,et al.  Measuring patients’ experiences with individual primary care physicians , 2007, Journal of General Internal Medicine.

[28]  Richard L Street,et al.  Critical elements of culturally competent communication in the medical encounter: a review and model. , 2009, Social science & medicine.

[29]  L. Kirk,et al.  Principles of the patient-centered medical home. , 2007, American family physician.

[30]  R. Epstein,et al.  Developing physician communication skills for patient-centered care. , 2010, Health affairs.

[31]  Ellen Peters,et al.  Beyond information: exploring patients' preferences. , 2009, JAMA.

[32]  Sabrina T. Wong,et al.  Shared Decision Making and the Experience of Partnership in Primary Care , 2006, The Annals of Family Medicine.

[33]  K. Davis,et al.  A 2020 vision of patient-centered primary care , 2005, Journal of General Internal Medicine.

[34]  M. Beach,et al.  What Does ‘Respect’ Mean? Exploring the Moral Obligation of Health Professionals to Respect Patients , 2007, Journal of General Internal Medicine.

[35]  N. Arora,et al.  Interacting with cancer patients: the significance of physicians' communication behavior. , 2003, Social science & medicine.

[36]  Ronald Epstein,et al.  Relationship, communication, and efficiency in the medical encounter: creating a clinical model from a literature review. , 2008, Archives of internal medicine.

[37]  Ronald M Epstein,et al.  Patient Trust: Is It Related to Patient-Centered Behavior of Primary Care Physicians? , 2004, Medical care.

[38]  Gary L. Kreps Applying Weick's model of organizing to health care and health promotion: highlighting the central role of health communication. , 2009, Patient education and counseling.

[39]  S. Payne,et al.  Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations , 2001, BMJ : British Medical Journal.

[40]  A. Stewart,et al.  Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. , 1999, Medical care.

[41]  T. Rosenthal The Medical Home: Growing Evidence to Support a New Approach to Primary Care , 2008, The Journal of the American Board of Family Medicine.

[42]  K. Stange,et al.  Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home , 2009, The Annals of Family Medicine.

[43]  P. Butow,et al.  Sharing decisions in cancer care. , 2001, Social science & medicine.

[44]  Kurt C Stange,et al.  Continuity of Primary Care: To Whom Does It Matter and When? , 2003, The Annals of Family Medicine.

[45]  R. Epstein,et al.  So much to do, so little time: care for the socially disadvantaged and the 15-minute visit. , 2008, Archives of internal medicine.

[46]  Mary Catherine Beach,et al.  Patient centeredness, cultural competence and healthcare quality. , 2008, Journal of the National Medical Association.

[47]  Thomas L. Campbell,et al.  Patient-Centered Communication and Diagnostic Testing , 2005, The Annals of Family Medicine.

[48]  M. Millenson The Promise Of Personalized Medicine: A Conversation With Michael Svinte , 2006 .

[49]  L. Fraenkel,et al.  What are the Essential Elements to Enable Patient Participation in Medical Decision Making? , 2007, Journal of General Internal Medicine.

[50]  M. Villagran,et al.  Cancer Survivorship and Agency Model: Implications for Patient Choice, Decision Making, and Influence , 2003, Health communication.

[51]  D. Pattie The 21st Century , 2007 .

[52]  R. Epstein,et al.  Exploring and Validating Patient Concerns: Relation to Prescribing for Depression , 2007, The Annals of Family Medicine.

[53]  S. Ramsey,et al.  Why do men choose one treatment over another? , 2006, Cancer.

[54]  C. K. Mertz,et al.  Less Is More in Presenting Quality Information to Consumers , 2007, Medical care research and review : MCRR.

[55]  Ronald M Epstein,et al.  Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. , 2009, JAMA.

[56]  Gail Geller,et al.  The moral nature of patient-centeredness: is it "just the right thing to do"? , 2006, Patient education and counseling.

[57]  Richard M. Frankel,et al.  Communication Interventions Make A Difference in Conversations Between Physicians and Patients: A Systematic Review of the Evidence , 2007, Medical care.