Cavanaugh Kerri L
Division of Nephrology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee; Vanderbilt Center for Kidney Disease, Nashville, Tennessee.
Semin Dial. 2015 Mar-Apr;28(2):131-40. doi: 10.1111/sdi.12326. Epub 2014 Dec 2.
Patient-centered care is upheld as one of the fundamental components of high quality health care. Although a deceptively easy concept, patient-centered care is an elusive goal in clinical practice. A core objective for patient-centered care is a collaboration between health care providers and patients that aligns therapy with patients' values and preferences through shared decision making. Advances in communication training that are tailored to the specific requirements of nephrology care are promising methods for enhancing the skill-set of our providers. However, patient-centered care extends beyond shared decision-making and also involves attention to patients' physical and emotional symptoms, care coordination, and the inclusion of family members. Research about patient-centered care processes, interventions and outcomes among patients with kidney disease is sparse. Recent discussions among nephrology experts name patient-centered care as a priority for research and quality improvement in care. Given recent advances in methods for quantifying patient-centered care as well as patient reported outcomes, now is the time to prioritize our resources to evolve our health system and meet the needs of all patients with kidney disease.
以患者为中心的护理被视为高质量医疗保健的基本组成部分之一。尽管这一概念看似简单，但在临床实践中，以患者为中心的护理却是一个难以实现的目标。以患者为中心的护理的一个核心目标是医疗服务提供者与患者之间的合作，通过共同决策使治疗与患者的价值观和偏好相一致。针对肾脏病护理的特定要求量身定制的沟通培训进展，是提高我们医疗服务提供者技能的有前景的方法。然而，以患者为中心的护理不仅仅局限于共同决策，还包括关注患者的身体和情绪症状、护理协调以及家庭成员的参与。关于肾脏病患者以患者为中心的护理过程、干预措施和结果的研究很少。肾脏病专家最近的讨论将以患者为中心的护理列为研究和护理质量改进的优先事项。鉴于最近在量化以患者为中心的护理以及患者报告结果的方法方面取得的进展，现在是时候优先分配我们的资源，以发展我们的医疗系统并满足所有肾脏病患者的需求了。
