Definition of Terms
Patient Centered Care is,(a) patientThe act is performed to respect the values, intentions, and needs of the patient, to support decision-making, to alleviate suffering, and to meet the needs of the patient.
Patient-centered care is an act performed to reduce patients' pain and satisfy their needs by respecting patients' values, intentions, and needs as well as supporting their decision-making. Patient-centered care is an act performed to reduce patients' pain and satisfy their needs by respecting patients' values, intentions, and needs as well as supporting their decision-making.
Explanation of Terms
What is Patient Centered Care?diseaseThe concept targets "patients" who are being treated for illnesses or injuries. The emphasis is on respecting the patient's values, intentions, and needs, and on providing a supportive environment in which the patient can actively participate in the decision-making process.communicationand shared decision-making, biopsychosocial perspectives, and individualizednursingCoordination of,caringThe elements are the attitude of the patient, "I am not a patient, I am a patient. The goal is to alleviate the pain experienced by the patient and to meet his/her needs, i.e., a functional life in which daily living is functionally fulfilled.
Patient-Centered is defined as providing care that respects and accommodates the preferences, needs, and values of the individual patient, and that the patient's values guide all clinical decisions (Institute of Medicine, 2001). Although there are numerous articles that have been written to clarify patient-centered care, what it means and why it is important is not fully understood (Epstein, Fiscella, Lesser, & Stange, 2010). Patient-centered care targets those who are ill or injured and receiving treatment, i.e., "patients,familyand friends are also the focus of decision making (Zhao, Gao, Wang, Liu, & Hao, 2016). The two most fundamental aspects of patient-centered care are treating the patient as a unique person and involving the patient in his or her care by making decisions about his or her care, requiring a cultural shift from a traditional patternalistic approach to a partnership between clinician and patient (Bachnick Sidani & Fox (2014) stated that sharing information in an accurate and timely manner to promote effective patient participation in decision-making They state that it is important to share information in an accurate and timely manner to facilitate effective patient participation in decision-making. Other approaches include effective patient-clinician communication and shared decision making (Levit, Balogh, Nass, & Ganz, 2013), biopsychosocial perspectives (Scholl, Hater, & Dimaier, 2014), tailoring care to patients' needs and preferences tailoring (Sidani & Fox, 2014) are important aspects. The concept of patient-centered care in nursing is based on the patient'sself-controlPromoting sexuality, individualizing patient care, and a caring attitude (Lusk & Fater, 2013) are important. A central idea of nurse-patient centered care is that the patient experiencespainto reduce or needs to be met (Hobbs, 2009), and is aimed at the functional life of the patient (Jakob et al., 2019).
Similar terms to Patient Centered CarePeople Centered CareandPerson Centered CarePatient-centered care refers to the patient as an "object. Patient-centered care refers to the patient as the "subject," while people-centered care refers to the subject as the "citizen" and person-centered care refers to the subject as the "person" or "individual. Like patient-centered care, the other two terms emphasize respect for the values, intentions, and needs of the target. However, people-centered care is more focused on target citizens taking the initiative and partnering with health care providers to improve health issues for individuals and the local medical community (Takahashi, Kamei, Omori, Arimori, Asahara, Hishinuma, Shimpuku, Tashiro, Ohashi, Asazawa, 2018). Person centered care, a term first used by Kitwood, is a fundamental concept and approach to care for people with dementia (Fazio, Pace, Flinner ,& Kallmyer, 2018). It focuses on clarifying and understanding the person's cherished values and preferences (McCormack, 2004).
References
1) Bachnick, S., Ausserhofer, D., Baernholdt, M., & Simon, M. (2018). Patient-centered care, nurse work environment and implicit rationing of nursing care in swiss acute care hospitals: a cross-sectional multi-center study, International Journal of Nursing Studies, 81, 98-106.
(2) Epstein, R. M., Fiscella, K., Lesser, C. S., & Stange, K. C. (2010). Why the nation needs a policy push on patient-centered health care, Health Affairs (Project Hope), 29(8), 1489-1495.
3) Fazio, S., Pace, D., Flinner, J., & Kallmyer, B. (2018). The fundamentals of person-centered care for individuals with dementia, The Gerontologist, 58(suppl_1), S10-S19.
4) Hobbs, J. L. (2009). A dimensional analysis of patient-centered care, Nursing Research, 58(1), 52-62.
(5) Institute of Medicine.(2001). Crossing the quality chasm: A new health care system for the 21st century, Washington, DC: National Academies Press.
(6) Jakob, H. E., Inger, K. H., Tomas, K., Elenor, K., Karin, S., Jessica, . . . Martina, S. M., (2019). "Same same or different?" a review of reviews of person-centered and patient-centered care, Patient Education and Counseling, 102(1), 3-11.
7) Levit L., Balogh E., Nass S. & Ganz P. A (eds.). (2013). Delivering high-quality cancer care: charting a new course for a system in crisis, National Academies Press (US).
8) Lusk, J. M., & Fater, K. (2013). A concept analysis of patient-centered care, Nursing Forum, 48(2), 89-98.
9) McCormack, B. (2004). Person-centredness in gerontological nursing: An overview of the literature, Journal of Clinical Nursing, 13(3a), 31-38.
10) Scholl, I., Zill, J. M., Härter, M., & Dirmaier, J. (2014). An integrative model of patient-centeredness - a systematic review and concept analysis, PloS One, 9(9), e107828.
11) Sidani, S., & Fox, M. (2014). Patient-centered care: clarification of its specific elements to facilitate interprofessional care, Journal of Interprofessional Care, 28(2), 134- 141.
(12) Ohtsubo, Kenji. (2020). A study of the practice of Patient-Centered Care and Person-Centered Care in patients with prolonged consciousness disorder. Unpublished Thesis, Graduate School of Nursing, St. Luke's International University.
(13) Takahashi, E., Kamei, T., Omori, J., Arimori, N., Asahara, K., Hishinuma, N., Shimpuku, Y., Tashiro, J., Ohashi, K., Asazawa, K. (2018). Reconstruction of the concept of People-Centered Care based on partnership between citizens and health professionals, Bulletin of St. Luke's International University, Vol. 4, 9-17.
(14) Zhao, J., Gao, S., Wang, J., Liu, X., & Hao, Y. (2016). Differentiation between two healthcare concepts: person-centered and patient-centered care, International Journal of Nursing Sciences, 3(4), 398- 402, doi://doi.org/10.1016/j.ijnss.2016.08.009