Because each physician, nurse, physical therapist, pharmacist, dietitian cares for one patient at a time. Population health care is the province of public health. It is not and should not be the province of individual practitioners. That would violate our oaths to do no harm, by placing the good of the many above the good of the one who is being cared for. We exist to serve the patient.
Patient centered care is the right care, the highest quality care and the most cost effective care for that one patient.
Medical errors, mistakes and inappropriate care all stem from the emphasis on system processes at the expense of the unique individual patient. The patient is the center of our activity. The patient's satisfaction is our goal; even if that is less than what modern medicine has to offer. To do otherwise is doctor, nurse, hospital, institutional or other centered care, not patient centered care. If the test or treatment is right for that patient with heart disease as opposed to that for all patients with heart disease then patient centered care has been rendered.
Patients are each very unique biological, social, psychological, economic, ethnic and spiritual beings. Multiple disciplines are important to the best patient centered outcome, - a team approach. PATIENT CENTERED CARE will also provide help with achieving the best individual patient outcome through a team approach.
The system is unmanageable and unusable, full of mistakes and errors, founded on empiricism rather than evidence of efficacy and way too expensive.
Population based medical and health care is fine for planning and budget allocation, but it is not patient centered care. Only patient centered care will lead to quality and cost effective care.
Our health care administrative structure is partly responsible for the delay in implementing change. Patient Centered Care is also dedicated to new models of clinical and administrative collaboration to promote patient centered care.
Designed to help you navigate our broken health care system and published by Vantage Press, this book details steps you can take to make your health care experience as error proof as possible.
"If you feel sluggish or slow a lot of the time; can't stay awake; no energy, can't concentrate, and so on then you don't need a B12 shot. You need to take a look at your diet. A diet high in carbohydrate at breakfast - toast, home fries, jelly, muffins, pancakes, Danish pastry, sugar in your coffee - will put you to sleep. The same will happen in the afternoon if you eat a high carb lunch. So, if you want to get things done, limit your carbohydrates during the day and eat them at night for a good night's sleep. It takes your body so long to digest the carbs that there is little blood going anywhere in your body except to your intestines. Your brain and your muscles just don't get enough to allow you to think or move as you should."
The Consumer's Guide to Medical Mistakes is available directly from the author:
Only patient centered care will lead to quality and cost effective care.
Robert A Peraino, MD, FACP
Founder, Patient Centered Care