Health Care Analysis 23 (3):272-287 (2015)
AbstractRecently adopted health care practices and policies describe themselves as “patient-centered care.” The meaning of the term, however, remains contested and obscure. This paper offers a typology of “patient-centered care” models that aims to contribute to greater clarity about, continuing discussion of, and further advances in patient-centered care. The paper imposes an original analytic framework on extensive material covering mostly US health care and health policy topics over several decades. It finds that four models of patient-centered care emphasize: patients versus their parts; patients versus providers; patients/providers/states versus “the system”; and patients and providers as persons. Each type is distinguishable along three dimensions: epistemological orientations, practical accommodations, and policy tools. Based on this analysis, the paper recommends that four questions be asked of any proposal that claims to provide patient-centered care: Is this care a means to an end or an end in itself? Are patients here subjects or objects? Are patients here individuals or aggregates? How do we know what patients want and need? The typology reveals that models are neither entirely compatible nor entirely incompatible and may be usefully combined in certain practices and policies. In other instances, internal contradictions may jeopardize the realization of coherent patient-centered care
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Citations of this work
New Perspectives on Person-Centered Care: An Affordance-Based Account.Juan Toro & Kristian Martiny - 2020 - Medicine, Health Care and Philosophy 23 (4):631-644.
Ethical Conflicts in Patient-Centred Care.Sven Ove Hansson & Barbro Fröding - forthcoming - Sage Publications: Clinical Ethics.
Relationship-Centred Care: Antidote, Guidepost or Blind Alley? The Epistemology of 21st Century Health Care.Peter C. Wyer, Suzana Alves Silva, Stephen G. Post & Patricia Quinlan - 2014 - Journal of Evaluation in Clinical Practice 20 (6):881-889.
Particularism in Health Care: Challenging the Authority of the Aggregate.Sandra J. Tanenbaum - 2014 - Journal of Evaluation in Clinical Practice 20 (6):934-941.
Differences That Matter: Developing Critical Insights Into Discourses of Patient-Centeredness.Bettine Pluut - 2016 - Medicine, Health Care and Philosophy 19 (4):501-515.
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