PDF-(READ)-The Patient as Agent of Health and Health Care: Autonomy in Patient-Centered Care

Patientcentered care for chronic illness is founded upon the informed and activated patient but we are not clear what this means We must understand patients as subjects who know things and as agents who do things Bioethics has urged us to respect patient autonomy but it has understood this autonomy narrowly in terms of informed consent for treatment choice In chronic illness care the ethical and clinical challenge is to not just respect but to promote patient autonomy understood broadly as the patients overall agency or capacity for action The primary barrier to patient action in chronic illness is not clinicians dictating treatment choice but clinicians dictating the nature of the clinical problem The patients perspective on clinical problems is now often added to the objectivedisease perspective of clinicians as healthrelated quality of life HRQL But HRQL is merely a hybrid transitional concept between diseasefocused and healthfocused goals for clinical care Truly patientcentered care requires a sense of patientcentered health that is perceived by the patient and defined in terms of the patients vital goals Patient action is an essential means to this patientcentered health as well as an essential component of this health This action is not extrinsically motivated adherence but intrinsically motivated striving for vital goals Modern pathophysiological medicine has trouble understanding both patient action and health The selfmoving and selfhealing capacities of patients can be understood only if we understand their roots in the biological autonomy of organisms Taking the patient as the primary perceiver and producer of health has the following policy implications 1 Care will become patientcentered only when the patient is the primary customer of care 2 Professional health services are not the principal source of population health and may lead to clinical social and cultural iatrogenic injury 3 Social justice demands equity in health capability more than equal access to health services. 24/7 Care . and. home monitoring . Stephanie R. Bruce, MD. Medical House Call Program. Medstar Washington Hospital Center. Washington, DC. Disclosures. None. Questions: . questions@aahcm.org. Patients in need. BY Dr . Simbo. Davidson. WHAT IS PATIENT-CENTERED CARE? AND HOW MAY WE ACHIEVE IT?. What participants will learn. Core elements of patient centered care. Facilitators and Barriers to patient centered care. Appointment . of Health Care Agent. In 2004, the Health Care Decision Act was passed thus revising Tennessee law concerning health care decision making. What does this act do?. Protects patient’s right to make own health care decisions. National Library of Medicine. Webinar Part II. HTA-CER-PM-PCOR: Converging on What Works for Patients. September 7, 2011. Clifford Goodman, PhD. The Lewin Group. Falls Church, Virginia USA. clifford.goodman@lewin.com. Ruth Shim, MD, MPH. Assistant Professor, Department of Psychiatry and Behavioral Sciences. Associate Director of Behavioral Health, National Center for Primary Care. Morehouse School of Medicine. Chronic Diseases. Sam JW Romeo, MD, MBA. sjwromeo@tower-health.com. 1. Love of God & Family. 2. My Medical Home Family. 3. Patient Centered Medical Home. Medical Home History---1966 to 2014. . 4. Also know a little something about building a real life Medical Home. James J. Lehman, DC, MBA, FACO. Associate Professor of Clinical Sciences. University of Bridgeport College of Chiropractic. Director . Community Health Clinical Education Program. University of Bridgeport. Building Leaders – Transforming Hospitals – Improving Care. 1. 45 YEARS OF DELIVERING RESULTS. HealthTechS3. is a 45 year old, award-winning healthcare consulting and strategic hospital services firm based in Brentwood, Tennessee with clients across the United States. . ACHA May 2018. Joseph Campos II, Ph.D.. University of Hawaii at . Manoa. PCMH. The services provided by an . accreditable. Medical Home are patient-centered, physician- or nurse practitioner-directed, comprehensive, accessible, continuous, and organized to meet the needs of the individual patients served. . Dr. Haider Raheem Mohammad. Benefiting the Patient and Others. The Duty to Do Good and Avoid Harm. The idea that it is . ethically right to do good. , especially good for the patient, is one of . the most obvious . MB;BS, DA, FRCA. Consultant Anaesthetist/ Intensive Care Physician. Paelon Memorial Clinic. sylvia@paelonmemorial.com. contact@paelonmemorial.com. www.paelonmemorial.com. 0909 360 8138. Definition. Providing care that is respectful and responsive to individual patient preferences, needs and values and ensuring that patient values guide all clinical decisions.. www.ijmrhs.com Special Issue 9S: Medical Science and Healthcare: Current Scenario and Future Development ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2016, 5, 9S:44 Ohio State’s . Lead.Serve.Inspire. Curriculum . Authors: . Amneet. . Bajwa. , Emily . DeDonat. , Blake Hansen, James Melvin, Leslie Pillow, . Nahid. Rashid, Evan Sheets, Tyler . Sheetz. , . Sunjay. the Patient-Centered Medical . Home. F. Daniel Duffy, . MD, MACP. Dean. Oklahoma Health Care Authority Retreat. August 27, 2010. Plan for Presentation. Patient Centered Medical Home. OU School of Community Medicine Vision.