CONSUMER & PROVIDER PERCEPTIONS OF PATIENT CENTERED CARE

护理一直致力于提供以病人为中心的护理。然而， 它在这一努力中的成功受到了传统医学的限制 这是一种以患者为依附的护理接受者的模式。 通常，保健服务的类型和提供方式有 由提供商定义和确定。最近，有一个 从患者作为护理接受者到患者的范式的理论转变 患者是消费者，是护理的合作伙伴。但是，更改 从患者到消费者的术语不一定确保 患者将被当作消费者对待。 这种焦点的转移在很大程度上是由于监管机构和 医疗机构采用工业质量的支付者 改进(QI)模型。行业正在成功地与他们的 客户将新的质量测量和过程概念应用于 改进其产品的功能并降低其成本 服务。专家指出，我们有理由认为， 医疗成本和结果也可以通过增加 病人在提供保健服务的过程中的参与。那里 是这些模型的两个主要组成部分：1)满足客户需求， 偏好和期望；以及2)减少浪费和错误。

Nursing has always endeavored to provide patient-centered care. However, its success in this effort has been limited by the traditional medical model which focuses on patients as dependent receivers of care. Typically, the types of health care services and methods of delivery are defined and determined by providers. Recently, there has been a theoretical shift in the paradigm from patient as recipient of care to patient as consumer and partner in care. However, changing the terminology from patient to consumer does not necessarily ensure that patients will be treated as consumers. This shift in focus is largely due to a mandate from regulators and payers for health care organizations to adopt industrial quality improvement (QI) models. Industry is successfully partnering with their customers in applying new quality measurement and process concepts to improve the functionality and reduce the cost of their products and services. Experts indicate that it is reasonable to assume that health care costs and outcomes can be similarly improved by increasing the involvement of the patient in the process of health care delivery. There are two major components of these models: 1) meeting customer's needs, preferences, and expectations; and 2) reducing waste and error.