Pt Centered Care Flashcards
Paternalistic Model of pt. - provider relationships
The traditional model
■ Provider is viewed as the expert on health
care and the values of that health care
■ The provider is the parent or guardian, and
the patient is like the child, agreeing to the
provider’s authority
Informative Model of patient provider relationships
The provider is a technical expert who simply
provides information to the patient
■ The patient holds the decision-making power about health care choices
■ Similar to the hairstylist-customer relationship
■ This model assumes that patients know their values and interests, and they just need facts about their medical care to decide what to do
interpretive model of patient provider relationships
the provider’s role is to elicit the patient’s values
The patient may not know what matters most
to him or her in a given situation
■ The provider serves as a counselor, advisor, friend, or teacher
deliberative model of patient provider relationships
the provider takes a slightly more assertive role, helping the patient understand his or her values in the situation.
The patient may not know what matters most
to him or her in a given situation
■ The provider serves as a counselor, advisor, friend, or teacher
Which of the patient provider relationship models have the patient and provider on the same team working toward the same goal?
interpretive and deliberative models
In an emergency when the patient is unconcious, which model should be used?
paternalistic
In chronic care situations, what model makes the most sense?
interpretive and deliberative
Who creates health?
patients
Identify reasons why the paternalistic model of care is not always effective today in helping patients reach their goals for health
■ Chronic conditions are on the rise;
Patients’ choices in lifestyle and behavior are key to positive outcomes
■ Patients always have a choice to take medical advice; Providers only offer recommendations for patients to consider
■ Patients have assets to contribute to their own care
■ Social conditions place limits on what patients can do for their health
State the 4 key concepts of patient-centered care that are embraced by the shared decision making process
■ Respect and dignity
■ Information sharing
■ Participation – at the patient’s desired level
■ Collaboration – with patients and their families
Identify key features of the partnership model
■ This relationship reflects the fact that health is determined by more than health care.
■ Patients are not patients, but people who are active agents in their own health.
■ Providers play the role of facilitators who help patients achieve their own health goals.
■ Ask not “what’s the matter?” but rather “what matters to you?”
State the factors to consider when forming a partnership relationship with a patient
■ Agency bias ■ Fatalism, faith and culture ■ Rethinking compliance ■ Trust in providers and healthcare institutions ■ Implicit bias
agency bias
a tendency of providers to think of a patient’s actions as the primary cause of an outcome. We often think “who is to blame?” when health outcomes are poor
ex: diabetic pt, dr. thinks she’s lazy, she is really afraid to walk b/c lives in bad neighborhood.
compliance
Patients who don’t follow recommended
treatments are labeled “non-compliant”
implicit bias
unconscious and unintentional discrimination;
studies show that people of color do not receive the same quality of care as white people in the U.S., partly because of implicit bias
