Department of Emergency Medicine, University of California, San Francisco, CA, USA.
Acad Emerg Med. 2010 Dec;17(12):1322-9. doi: 10.1111/j.1553-2712.2010.00939.x.
Patient-centered care is defined by the Institute of Medicine (IOM) as care that is responsive to individual patient needs and values and that guides the treatment decisions. This article is a result of a breakout session of the 2010 Academic Emergency Medicine (AEM) consensus conference and describes the process of developing consensus-based recommendations for providing patient-centered emergency care. The objectives of the working group were to identify and describe the critical gaps in the provision of patient-centered care, develop a consensus-based research agenda, and create a list of future research priorities. Using e-mail and in-person meetings, knowledge gaps were identified in the areas of respect for patient preferences, coordination of clinical care, and communication among health care providers. Four consensus-based recommendations were developed on the following themes: enhancing communication and patient advocacy in emergency departments (EDs), facilitating care coordination after discharge, defining metrics for patient-centered care, and placing the locus of control of medical information into patients' hands. The set of research priorities based on these recommendations was created to promote research and advance knowledge in this dimension of clinical care.
以患者为中心的护理是由美国医学研究所（IOM）定义的，它是指针对个体患者需求和价值观的护理，并指导治疗决策。本文是 2010 年学术急诊医学（AEM）共识会议分组讨论的结果，描述了制定基于共识的提供以患者为中心的紧急护理建议的过程。工作组的目标是确定和描述提供以患者为中心的护理方面的关键差距，制定基于共识的研究议程，并列出未来的研究重点。通过电子邮件和现场会议，确定了在尊重患者偏好、协调临床护理以及医疗保健提供者之间的沟通等领域存在知识空白。就以下主题制定了四项基于共识的建议：在急诊科加强沟通和患者宣传，促进出院后的护理协调，定义以患者为中心的护理指标，以及将医疗信息的控制权交给患者。基于这些建议创建了一套研究重点，以促进这一临床护理维度的研究和知识进步。
