Rochester Center to Improve Communication in Health Care, University of Rochester Medical Center, New York, USA.
Health Aff (Millwood). 2010 Aug;29(8):1489-95. doi: 10.1377/hlthaff.2009.0888.
The phrase "patient-centered care" is in vogue, but its meaning is poorly understood. This article describes patient-centered care, why it matters, and how policy makers can advance it in practice. Ultimately, patient-centered care is determined by the quality of interactions between patients and clinicians. The evidence shows that patient-centered care improves disease outcomes and quality of life, and that it is critical to addressing racial, ethnic, and socioeconomic disparities in health care and health outcomes. Policy makers need to look beyond such areas as health information technology to shape a coordinated and focused national policy in support of patient-centered care. This policy should help health professionals acquire and maintain skills related to patient-centered care, and it should encourage organizations to cultivate a culture of patient-centeredness.
“以患者为中心的医疗”这一说法时下流行，但人们对其含义的理解却很有限。本文介绍了以患者为中心的医疗的定义、重要性以及政策制定者如何在实践中推动其发展。归根结底，以患者为中心的医疗取决于患者与临床医生之间互动的质量。有证据表明，以患者为中心的医疗可以改善疾病结局和生活质量，并且对于解决医疗保健和健康结果方面的种族、民族和社会经济差异至关重要。政策制定者需要超越卫生信息技术等领域，制定协调一致的、重点突出的国家政策，以支持以患者为中心的医疗。该政策应帮助卫生专业人员获取和保持与以患者为中心的医疗相关的技能，并鼓励各组织培养以患者为中心的文化。
