Circulation. 2024 May 14;149(20):e1176-e1188. doi: 10.1161/CIR.0000000000001233. Epub 2024 Apr 11.
Patient-centered care is gaining widespread acceptance by the medical and lay communities and is increasingly recognized as a goal of high-quality health care delivery. Patient-centered care is based on ethical principles and aims at establishing a partnership between the health care team and patient, family member, or both in the care planning and decision-making process. Patient-centered care involves providing respectful care by tailoring management decisions to patients' beliefs, preferences, and values. A collaborative care approach can enhance patient engagement, foster shared decision-making that aligns with patient values and goals, promote more personalized and effective cardiovascular care, and potentially improve patient outcomes. The objective of this scientific statement is to inform health care professionals and stakeholders about the role and impact of patient-centered care in adult cardiovascular medicine. This scientific statement describes the background and rationale for patient-centered care in cardiovascular medicine, provides insight into patient-oriented medication management and patient-reported outcome measures, highlights opportunities and strategies to overcome challenges in patient-centered care, and outlines knowledge gaps and future directions.
以患者为中心的医疗照护模式在医学和非医学领域正得到广泛认可,并逐渐被视为高质量医疗服务的目标。以患者为中心的医疗照护模式基于伦理原则,旨在建立医疗团队与患者、患者家属或两者之间在医疗计划和决策过程中的伙伴关系。以患者为中心的医疗照护包括提供尊重患者的医疗照护,使管理决策与患者的信仰、偏好和价值观保持一致。协作式医疗照护方法可以增强患者的参与度,促进与患者价值观和目标相一致的共同决策,促进更个性化和有效的心血管护理,并有可能改善患者的结局。本科学声明的目的是向医疗保健专业人员和利益相关者通报以患者为中心的医疗照护在成人心血管医学中的作用和影响。本科学声明描述了心血管医学中以患者为中心的医疗照护的背景和基本原理,提供了对以患者为导向的药物管理和患者报告的结果测量的深入了解,强调了在以患者为中心的医疗照护中克服挑战的机会和策略,并概述了知识空白和未来方向。