Jayadevappa Ravishankar
University of Pennsylvania, Philadelphia, USA.
Corporal Michael J. Crescenz VAMC, Philadelphia, PA, USA.
Gerontol Geriatr Med. 2017 Mar 23;3:2333721417700759. doi: 10.1177/2333721417700759. eCollection 2017 Jan-Dec.
Patient-centered care that reflects consumer-driven health care decision of an individual as opposed to collective or social choice-based health decision has many implications for clinical decision and resource allocation. With possession of required information and faced with appropriate assessment of preferences, older adults make better choices for their own health. However, one must acknowledge that patient-centered approach for older adults should effectively integrate tenets of value-based care to improve overall quality of care and societal well-being. In this perspective, I present the importance and challenges of patient-centered care and patient-centered outcomes research among older adults.
以患者为中心的护理反映了个体消费者驱动的医疗保健决策，而非基于集体或社会选择的健康决策，这对临床决策和资源分配有诸多影响。在掌握所需信息并面对偏好的适当评估时，老年人能为自身健康做出更好的选择。然而，必须承认，针对老年人的以患者为中心的方法应有效整合基于价值的护理原则，以提高整体护理质量和社会福祉。从这个角度出发，我阐述了老年人以患者为中心的护理及以患者为中心的结局研究的重要性和挑战。
