Skip to main content
SpringerLink
Log in
Book cover

Patient-Centered Primary Care pp 51–75Cite as

Getting from “Delivering Care to Patients” to “Partnership with Patients”

  • Chapter
  • First Online:

Abstract

The IOM’s call for patients to be the source of control in their care has been represented differently at different times. The patient as the source of control has evolved from the clinician’s taking the patient’s preferences and values into account in designing care to a partnership between the clinician and the patient in making the choices necessary to plan care. This is a particularly challenging standard because both health professionals and many of their patients have been socialized to the model of the doctor leading care. Their difference in knowledge and in their perspective on the patient’s illness makes partnership difficult. This makes partnership challenging, even if the difference in levels of knowledge about the patient’s illness is reduced. Motivational interviewing, shared decision-making, minimally disruptive medicine, addressing health literacy, relationship-centered care, and coaching patients to be more assertive in relating to their physician, each of these approaches can be an important contribution, and each one demands extra attention and time to be effectively implemented. For some patients with particularly complex health situations, additional expertise on the part of the healthcare team is necessary to impact their health outcomes.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Notes

  1. 1.

    The Social Determinants of Health as listed by Healthy People 2020 [55] are economic stability, the neighborhood and built environment, access to healthcare, social and community context, and education.

References

  1. Frampton S, Guastello S, Hoy L, Naylor M, Sheridan S, Johnston-Fleece M. Harnessing evidence and experience to change culture: a guiding framework for patient and family engaged care. National Institute of Medicine. 2017. https://nam.edu/harnessing-evidence-and-experience-to-change-culture-a-guiding-framework-for-patient-and-family-engaged-care/

  2. Kuzel AJ, Woolf SH, Gilchrist VJ, Engel JD, LaVeist TA, Vincent C, Frankel RM. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333–40.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Elder NC, Imhoff R, Chubinski J, et al. Congruence of patient self-rating of health with family physician ratings. JABFM. 2017;30:196–204.

    Article  PubMed  Google Scholar 

  4. Kruse RL, Olsberg JE, Shigaki CL, Oliver D, Vetter-Smith M, Day T, LeMaster J. Communication during patient-provider encounters regarding diabetes self-management. Fam Med. 2013;45:475–83.

    PubMed  Google Scholar 

  5. Parker RM. Health literacy: a challenge for American patients and their healthcare providers. Health Promot Int. 2000;15:277–91.

    Article  Google Scholar 

  6. Hayes MV, Ross IE, Gashner M, Gutstgein D. Telling stories: news media, health literacy and public policy in Canada. Soc Sci Med. 2007;64:1842–52.

    Article  Google Scholar 

  7. Institute of Medicine. Health literacy: a prescription to end confusion. Washington, DC: National Academies Press; 2004.

    Google Scholar 

  8. Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008;67:2072–6.

    Article  PubMed  Google Scholar 

  9. Paasche-Orlow MK, Wolf MS. The causal pathway lining healthy literacy to health outcomes. Am J Health Behav. 2007;31:S19–26.

    Article  PubMed  Google Scholar 

  10. Miller WR, Rollnick S. Motivational Interviewing, Helping People Change. 3rd ed. New York: Guilford Press; 2012.

    Google Scholar 

  11. Prochaska JO, DiClemente CC. The Transtheoretical approach: towards a systematic eclectic framework. Homewood: Dow Jones Irwin; 1984.

    Google Scholar 

  12. Miller WR, Rollnick S. Motivational Interviewing: Preparing People to Change Addictive Behavior. New York: Guilford Press; 1991.

    Google Scholar 

  13. Rauch J. How not to die. The Atlantic. May, 2013: 65–69.

    Google Scholar 

  14. Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002;288:2469–75.

    Article  PubMed  Google Scholar 

  15. Guadagnoli E, Ward P. Patient participation in decision-making. Soc Sci Med. 1998;47:329–39.

    Article  CAS  PubMed  Google Scholar 

  16. Devine EC, Cook TD. A meta-analytic analysis of effects of psychoeducational interventions on length of postsurgical hospital stay. Nurs Res. 1983;32:267-274.

    Article  Google Scholar 

  17. Stiggelbout AM, Van der Weijden T, De Wit MPT, et al. Shared decision making: really putting patients at the centre of healthcare. BMJ. 2012;344:1–6.

    Article  Google Scholar 

  18. Onel E, Hamond C, Wasson JH, et al. Assessment of the feasibility and impact of shared decision making in prostate cancer. Urology. 1998;51:63–6.

    Article  CAS  PubMed  Google Scholar 

  19. Elwyn G, Dehlendorf C, Epstein RM, Marrin K, White J, Frosch DL. Shared decision making and motivational interviewing: achieving patient-centered care across the spectrum of health care problems. Ann Fam Med. 2014;12:270–5.

    Article  PubMed  PubMed Central  Google Scholar 

  20. O’Connor AM, Legare F, Stacey D. Risk communication in practice: the contribution of decision aids. BMJ. 2003;327:736–40. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC200814/

    Article  PubMed  PubMed Central  Google Scholar 

  21. Cvengros JA, Christensen AJ, Hillis SL, Rosenthal GE. Patient and physician attitudes in the health care context: attitudinal symmetry predicts patient satisfaction and adherence. Ann Behav Med. 2007;33:262–5.

    Article  PubMed  Google Scholar 

  22. Barry MJ, Edgman-Levitan S. Shared decision making – the pinnacle of patient-centered care. N Engl J Med. 2012;366:780–1.

    Article  CAS  PubMed  Google Scholar 

  23. Lagare F, Stacey D, Turcotte S, et al. Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Rev. 2014. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006732.pub3/full

  24. Couët N, Desroches S, Robitaille H, Vaillancourt H, Leblanc A, Turcotte S, et al. Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument. Health Expectations. 2015;18:542–61.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Leppin AL, Montori VM, Gionfriddo MR. Minimally disruptive medicine: a pragmatically comprehensive model for delivering care to patients with multiple chronic conditions. Healthcare. 2015;3:50–63.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Jowsey T, Yen L, Mathews WP. Time spent on health-related activities associated with chronic illness: a scoping literature review. BMC Public Health. 2012;12:1044.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Shippee ND, Shah ND, May CR, Mair FS, Montori VM. Cumulative complexity: a functional, patient-centered model for patient complexity can improve research and practice. J Clin Epidemiol. 2012;65:1041–51.

    Article  PubMed  Google Scholar 

  28. Leppin AL, Gionfriddo MR, Kessler M, et al. Preventing 30-day hospital readmissions: a systematic review and meta-analysis of randomized trials. JAMA Intern Med. 2014;174:1095–107.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Kiecolt-Glaser JK, Fisher LD, Grocki P, Stout J, Speicher C, Glaser R. Marital quality, marital disruption, and immune function. Psychosom Med. 1987;49:13–34.

    Article  CAS  PubMed  Google Scholar 

  30. Uchino BN, Cacioppo JT, Kiecolt-Glaser JK. The relationship between social support and physiological processes: a review with emphasis on underlying mechanisms and implications for health. Psychol Bull. 1996;119:488–531.

    Article  CAS  PubMed  Google Scholar 

  31. Rakel DP, Hoeft TJ, Barrett BP, et al. Practitioner empathy and the duration of the common cold. Fam Med. 2009;41:494–501.

    Google Scholar 

  32. Rossland A, Heisler M, Piette JD. The impact of family behaviors and communication patterns on chronic illness outcomes: a systematic review. J Behav Med. 2012;35:221–39.

    Article  Google Scholar 

  33. Kaplan SH, Greenfield S, Ware JE. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care. 1989;27:S110–27.

    Article  CAS  PubMed  Google Scholar 

  34. Haug MR, Lavin B. Public challenge of physician authority. Med Care. 1979;17:429.

    Article  Google Scholar 

  35. Vertinsky JB, Thompson WA, Uyeno D. Measuring consumer desire for participation in clinical decision-making. Health Serv Res. 1974;15:121.

    Google Scholar 

  36. Woolley FR, Kane RI, Hughes CC, et al. The effects of doctor-patient communication on satisfaction and outcome of care. Soc Sci Med. 1978;12:123.

    CAS  PubMed  Google Scholar 

  37. Patrick DL, Scrivens E, Charlton J. Disability and patient satisfaction with medical care. Med Care. 1983;21:1062.

    Article  CAS  PubMed  Google Scholar 

  38. Belkora J, Edlow B, Aviv C, Sepucha K, Esserman L. Training community resource center and clinic personnel to prompt patients in listing questions for doctors: follow-up interviews about barriers and facilitators to the implementation of consultation planning. Implement Sci. 2008;3:6.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Adelman AM, Graybill M. Integrating a health coach into primary care: reflections from the Penn State ambulatory research network. Ann Fam Med. 2005;3:S33–5.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Tresolini CP. Pew-Fetzer task force on advancing psychosocial health education. Health Professions Education and Relationship-Centered Care. 1994. Pew Health Professions Commission, GoogleBooks.com: San Francisco.

  41. Beach MC, Inui T, The Relationship-Centered Research Network. Relationship-centered care: a constructive reframing. J Gen Intern Med. 2006;21:S3–8.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Soklareidis S, Ravitz P, Nevo GA, Lieff S. Relationship-centered care in health: a 20-year scoping review. Patient Exp J. 2016;3:130–45.

    Google Scholar 

  43. Suchman AL, Sluyter DJ, Williamson PR, editors. Leading change in healthcare. London: Radcliffe Publishing; 2011.

    Google Scholar 

  44. Watzlawick P, Bavelas JB, Jackson DD. Pragmatics of human communication. New York: W. W. Norton; 1967.

    Google Scholar 

  45. Miller WR. Living as if. Philadelphia: Westminster Press; 1985.

    Google Scholar 

  46. Carney DR, Cuddy AJC, Yap AJ. Brief nonverbal displays affect neuroendocrine levels and risk tolerance. Psychol Sci. 2010;21:1363–8.

    Article  PubMed  Google Scholar 

  47. Ryan P, Sawin KJ. The individual and family self-management theory: background and perspectives on context, process, and outcomes. Nurs Outlook. 2009;57:217–25.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Weihs K, Fisher L, Baird M. Families, health, and behavior. Fam Syst Health. 2002;20:7–46.

    Article  Google Scholar 

  49. Lewis N, Gray SW, Freres DR, Hornik RC. Examining cross-source engagement with cancer-related information and its impact on doctor-patient relations. Health Commun. 2009;24:723–34.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Kleinman A, Eisenberg L, Good B. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978;88:251–8.

    Article  CAS  PubMed  Google Scholar 

  51. Siminoff LA. Incorporating patient and family preferences into evidence-based medicine. BMC Med Inform Decis Mak. 2013;13:S6.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Arpin K, Fitch M, Browne GB, Corey P. Prevalence and correlates of family dysfunction to chronic illness in specialty clinics. J Clin Epidemiol. 1990;3:373–83.

    Article  Google Scholar 

  53. Medalie JH, Goldbourt U. Angina pectoris among 10,000: psychosocial and other risk factors as evidenced by a multivariate analysis of a five-year incidence study. Am J Med. 1976;60:910–21.

    Article  CAS  PubMed  Google Scholar 

  54. Morisky DE, DeMuth NM, Field-Fass M, Green LW, Levine DM. Evaluation of family health education to build social support for long-term control of high blood pressure. Health Educ Q. 1985;12:35–50.

    Article  CAS  PubMed  Google Scholar 

  55. Mittleman MS, Ferris SH, Mackell JA, Ambinder A, Cohen J. An intervention that delays institutionalization of Alzheimer’s disease patients: treatment of spouse caregiver. The Gerontologist. 1993;35:792–802.

    Article  Google Scholar 

  56. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press; 2001.

    Google Scholar 

  57. Healthy People 2020. www.HealthyPeople.gov

Resources

    Patients Advocating for Patient Participation

    Health Literacy Resources

    Motivational Interviewing Resources

    Shared Decision-Making Resources

      For Professionals

      Decisional Aids for Patients

      Minimally Disruptive Medicine

      Download references

      Author information

      Authors and Affiliations

      1. Department of Clinical Psychology, Antioch University New England, Keene, NH, USA

        Alexander Blount EdD

      Authors
      1. Alexander Blount EdD
        View author publications

        You can also search for this author in PubMed Google Scholar

      Rights and permissions

      Reprints and permissions

      Copyright information

      © 2019 Springer Nature Switzerland AG

      About this chapter

      Check for updates. Verify currency and authenticity via CrossMark

      Cite this chapter

      Blount, A. (2019). Getting from “Delivering Care to Patients” to “Partnership with Patients”. In: Patient-Centered Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-030-17645-7_4

      Download citation

      • DOI: https://doi.org/10.1007/978-3-030-17645-7_4

      • Published:

      • Publisher Name: Springer, Cham

      • Print ISBN: 978-3-030-17644-0

      • Online ISBN: 978-3-030-17645-7

      • eBook Packages: MedicineMedicine (R0)

      Publish with us

      Policies and ethics

      Search

      Navigation