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. from a Caribbean perspective. drs. Raymond . Jessurun. ADI representative for the America’s. CLATJUPAM Executive Board Member. CORV ambassador to International Organizations. Main principles under Autonomy and Independent Life for OP. Autonomy. Ancient . G. reek: . autonomy = „one who gives oneself their own law“. au·ton·o·my: . I. ndependence.  or freedom, as of the . will.  or . one's actions:.  . the autonomy.  of the individual. Advances . in Education-Based SDT . Research since . the Rochester 2013 . Conference. Johnmarshall Reeve. Korea University. 1. What Precisely Is Autonomy Support?. 1. What Precisely Is Autonomy Support?. Achieving the . Right . Balance. Jennifer McCallister, MD. Internal Medicine/Pulmonary & Critical Care. John D. Mahan, M.D.. Pediatrics/Pediatric Nephrology. The OSU College of Medicine . Presenters. 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. 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. . Friday, October 5, 2012. Transplant . Center Growth and. Management Best Practices. 1. . Institutional Vision and Commitment. 2. Dedicated Team. 3. Aggressive Clinical Style. 4. . Patient and “Family” Centered Care. 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 The Number of People With Chronic Conditions Is Rapidly IncreasingIn 2000, 125 million Americans had one or more chronic conditions.This number is projected to increase by more than one percent each y Presentation Goals. Describe the relationship between chronic health conditions and academic achievement.. Discuss ways schools can help support students with chronic health conditions.. 2. Presentation overview. A health care agent is a person you choose to make health care decisions and choices for you if you are not able to make them yourself. You may choose an agent by completing a document called a health care proxy.. James W. Mold, MD, MPH. Emeritus Professor of Family and Preventive Medicine. University of Oklahoma. Objectives. After participating in this forum, you will be able to.... Explain key differences between person-centered care and problem-oriented care.