Considering shared power and responsibility: Diabetic patients’ experience with the PCMH care model

The patient-centered medical home (PCMH), an innovative primary care model that fosters a stronger, more personal patient-doctor relationship than traditional health care models, should be particularly well suited for the treatment of chronic conditions such as diabetes that require ongoing manageme...

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Autores principales:	Olena Mazurenko, Sheila Bock, Catherine Prato, Margarita Bondarenko
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2015
Materias:	patient-centered medical home pcmh diabetes patient centered care patient-doctor relationship Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/029671008db84282b46bcf46702fd8b9
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spelling	oai:doaj.org-article:029671008db84282b46bcf46702fd8b92021-11-15T03:55:59ZConsidering shared power and responsibility: Diabetic patients’ experience with the PCMH care model2372-0247https://doaj.org/article/029671008db84282b46bcf46702fd8b92015-04-01T00:00:00Zhttps://pxjournal.org/journal/vol2/iss1/9https://doaj.org/toc/2372-0247The patient-centered medical home (PCMH), an innovative primary care model that fosters a stronger, more personal patient-doctor relationship than traditional health care models, should be particularly well suited for the treatment of chronic conditions such as diabetes that require ongoing management by both patients and providers. Despite growing research on the effectiveness of PCMHs in diabetes care, relatively little attention has been given to diabetic patients’ experiences. This qualitative study examines diabetic patients’ experiences at one PCMH setting, using in-depth interviews to understand patients’ perspectives of the shared power and responsibility between patient and provider in their diabetes care. Our results suggest that even when patients feel comfortable and cared for by the physician, they may choose to take a more passive role in discussions about their diabetes in the clinical encounter because 1) they may see diabetes as a secondary concern, or 2) they may be consciously differentiating between their physician’s responsibility over the physical domain of the illness and the patient’s responsibility over the lifestyle domain of the illness. Thus, in order to build a relationship that is characterized by shared power and responsibility between patient and provider, physicians should not only strive to create an atmosphere in which the patient feels both cared for and listened to, they also need to be aware of patient’s preconceptions about the clinical encounter. This awareness would allow physicians to encourage more active patient participation in the clinical encounter and support patients more effectively in their self-management journey.Olena MazurenkoSheila BockCatherine PratoMargarita BondarenkoThe Beryl Institutearticlepatient-centered medical homepcmhdiabetespatient centered carepatient-doctor relationshipMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient-centered medical home pcmh diabetes patient centered care patient-doctor relationship Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient-centered medical home pcmh diabetes patient centered care patient-doctor relationship Medicine (General) R5-920 Public aspects of medicine RA1-1270 Olena Mazurenko Sheila Bock Catherine Prato Margarita Bondarenko Considering shared power and responsibility: Diabetic patients’ experience with the PCMH care model
description	The patient-centered medical home (PCMH), an innovative primary care model that fosters a stronger, more personal patient-doctor relationship than traditional health care models, should be particularly well suited for the treatment of chronic conditions such as diabetes that require ongoing management by both patients and providers. Despite growing research on the effectiveness of PCMHs in diabetes care, relatively little attention has been given to diabetic patients’ experiences. This qualitative study examines diabetic patients’ experiences at one PCMH setting, using in-depth interviews to understand patients’ perspectives of the shared power and responsibility between patient and provider in their diabetes care. Our results suggest that even when patients feel comfortable and cared for by the physician, they may choose to take a more passive role in discussions about their diabetes in the clinical encounter because 1) they may see diabetes as a secondary concern, or 2) they may be consciously differentiating between their physician’s responsibility over the physical domain of the illness and the patient’s responsibility over the lifestyle domain of the illness. Thus, in order to build a relationship that is characterized by shared power and responsibility between patient and provider, physicians should not only strive to create an atmosphere in which the patient feels both cared for and listened to, they also need to be aware of patient’s preconceptions about the clinical encounter. This awareness would allow physicians to encourage more active patient participation in the clinical encounter and support patients more effectively in their self-management journey.
format	article
author	Olena Mazurenko Sheila Bock Catherine Prato Margarita Bondarenko
author_facet	Olena Mazurenko Sheila Bock Catherine Prato Margarita Bondarenko
author_sort	Olena Mazurenko
title	Considering shared power and responsibility: Diabetic patients’ experience with the PCMH care model
title_short	Considering shared power and responsibility: Diabetic patients’ experience with the PCMH care model
title_full	Considering shared power and responsibility: Diabetic patients’ experience with the PCMH care model
title_fullStr	Considering shared power and responsibility: Diabetic patients’ experience with the PCMH care model
title_full_unstemmed	Considering shared power and responsibility: Diabetic patients’ experience with the PCMH care model
title_sort	considering shared power and responsibility: diabetic patients’ experience with the pcmh care model
publisher	The Beryl Institute
publishDate	2015
url	https://doaj.org/article/029671008db84282b46bcf46702fd8b9
work_keys_str_mv	AT olenamazurenko consideringsharedpowerandresponsibilitydiabeticpatientsexperiencewiththepcmhcaremodel AT sheilabock consideringsharedpowerandresponsibilitydiabeticpatientsexperiencewiththepcmhcaremodel AT catherineprato consideringsharedpowerandresponsibilitydiabeticpatientsexperiencewiththepcmhcaremodel AT margaritabondarenko consideringsharedpowerandresponsibilitydiabeticpatientsexperiencewiththepcmhcaremodel
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Considering shared power and responsibility: Diabetic patients’ experience with the PCMH care model

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