Cillessen Felix, Hofdijk Jacob
Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, the Netherlands.
Hospital Rivierenland Tiel, the Netherlands.
Stud Health Technol Inform. 2020 Jun 26;272:292-295. doi: 10.3233/SHTI200552.
To keep healthcare effective, accessible and affordable to all we need a fundamental paradigm shift. Self-management for prevention and care with the help of healthcare professionals, having a shared view of the state of well-being, will play a significant role in this transition. The problem list is widely adopted as centerpiece of electronic health records and is although often patient oriented, but mostly limited to the institutional level. The requirements for this paradigm shift has been discussed in a series of workshops. Truly person-centered care requires to move towards a holistic problem list with an assessment and planning process resulting in an overarching care plan. The change process towards a real person-centered problem list, integrated in an overarching care plan, should be focused on the transition of health services delivery and requires a transition based on the "Quadruple Aim" principles.
为了让所有人都能获得有效、可及且负担得起的医疗保健，我们需要进行根本性的范式转变。在医疗保健专业人员的帮助下进行自我管理以预防和护理，对健康状况有共同的认识，将在这一转变中发挥重要作用。问题清单被广泛用作电子健康记录的核心，虽然它通常以患者为导向，但大多局限于机构层面。在一系列研讨会上已经讨论了这种范式转变的要求。真正以患者为中心的护理需要转向一个全面的问题清单，并通过评估和规划过程形成一个总体护理计划。朝着真正以患者为中心的问题清单转变的过程，该清单整合在总体护理计划中，应聚焦于医疗服务提供的转变，并且需要基于“四重目标”原则进行转变。
