If You Build It, Will They Come? Designing Truly Patient-Centered Health Care
If You Build It, Will They Come? Designing Truly Patient-Centered Health Care
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DOI：
10.1377/hlthaff.2010.0305
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发表时间：
2010-05-01
期刊：
影响因子：
9.7
通讯作者：
Ness, Debra L.
中科院分区：
文献类型：
--
作者：
Bechtel, Christine;Ness, Debra L.
在美国就如何重组其医疗保健系统展开辩论之际，政策制定者必须问清楚，患者真正想从初级保健提供者那里得到什么，需要什么。病人说他们想要什么和其他提供者或付款人认为病人想要什么之间经常存在脱节。我们在国家妇女和家庭伙伴关系的研究表明，一个真正以病人为中心的医疗保健系统必须设计成包括对病人重要的特征——包括“全人”护理、全面的沟通和协调、病人的支持和授权，以及随时可用的服务。如果没有这些特征，如果没有消费者对新模式的设计、持续实践和评估的投入，患者可能会拒绝新的方法，如医疗之家和负责任的护理组织。
As the United States debates how to reorganize its health care system, policy makers must ask what patients really want and need from their primary care providers. There is often a disconnect between what patients say they want and what other providers or payers think patients want. Our research at the National Partnership for Women and Families suggests that a truly patient-centered health care system must be designed to incorporate features that matter to patients-including "whole person" care, comprehensive communication and coordination, patient support and empowerment, and ready access. Without these features, and without consumer input into the design, ongoing practice, and evaluation of new models, patients may reject new approaches such as medical homes and accountable care organizations.