A daughter’s frustration with the dearth of patient- and family-centered care

Patient involvement in decision-making is an increasingly recognized ethical imperative, one that requires attention to health literacy. Health care that is truly patient- and family-centered, however, is the exception rather than the rule. This first person account of a hospitalization describes th...

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Main Author: Cindy Brach
Format: article
Language:EN
Published: The Beryl Institute 2014
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Online Access:https://doaj.org/article/c40a693afc334399ad60fc3becbbf56a
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spelling oai:doaj.org-article:c40a693afc334399ad60fc3becbbf56a2021-11-15T03:34:04ZA daughter’s frustration with the dearth of patient- and family-centered care2372-0247https://doaj.org/article/c40a693afc334399ad60fc3becbbf56a2014-04-01T00:00:00Zhttps://pxjournal.org/journal/vol1/iss1/7https://doaj.org/toc/2372-0247Patient involvement in decision-making is an increasingly recognized ethical imperative, one that requires attention to health literacy. Health care that is truly patient- and family-centered, however, is the exception rather than the rule. This first person account of a hospitalization describes the lack of patient and family inclusion in decision-making, failure to use plain language and other health literacy strategies, and disregard for patient and family preferences. The author concludes that if the health care system is going to shift from paternalistic to patient- and family-centered, providers must be trained how to communicate and partner with patients and families. Even the most skilled health professionals, however, will not be able to deliver patient- and family-centered care if the system they work in is not designed to foster or support such care. Committed hospitals will integrate patient- and family-centered care throughout their organizations. This includes their mission statements, quality improvement activities, personnel policies, decision and self-management support, and patient portals. Payment policies can encourage, but are a blunt instrument to drive, health care toward patient and family-centered care. The author references resources to help hospitals make systematic changes to hard wire<strong> </strong>health literate and patient- and family-centered care.Cindy BrachThe Beryl Institutearticlehealth literacyhospital qualityorganization and delivery of carepatient- and family-centered carepatient engagementpatient preferencesplain languagequality improvementshared decision-makingMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal, Vol 1, Iss 1 (2014)
institution DOAJ
collection DOAJ
language EN
topic health literacy
hospital quality
organization and delivery of care
patient- and family-centered care
patient engagement
patient preferences
plain language
quality improvement
shared decision-making
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle health literacy
hospital quality
organization and delivery of care
patient- and family-centered care
patient engagement
patient preferences
plain language
quality improvement
shared decision-making
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Cindy Brach
A daughter’s frustration with the dearth of patient- and family-centered care
description Patient involvement in decision-making is an increasingly recognized ethical imperative, one that requires attention to health literacy. Health care that is truly patient- and family-centered, however, is the exception rather than the rule. This first person account of a hospitalization describes the lack of patient and family inclusion in decision-making, failure to use plain language and other health literacy strategies, and disregard for patient and family preferences. The author concludes that if the health care system is going to shift from paternalistic to patient- and family-centered, providers must be trained how to communicate and partner with patients and families. Even the most skilled health professionals, however, will not be able to deliver patient- and family-centered care if the system they work in is not designed to foster or support such care. Committed hospitals will integrate patient- and family-centered care throughout their organizations. This includes their mission statements, quality improvement activities, personnel policies, decision and self-management support, and patient portals. Payment policies can encourage, but are a blunt instrument to drive, health care toward patient and family-centered care. The author references resources to help hospitals make systematic changes to hard wire<strong> </strong>health literate and patient- and family-centered care.
format article
author Cindy Brach
author_facet Cindy Brach
author_sort Cindy Brach
title A daughter’s frustration with the dearth of patient- and family-centered care
title_short A daughter’s frustration with the dearth of patient- and family-centered care
title_full A daughter’s frustration with the dearth of patient- and family-centered care
title_fullStr A daughter’s frustration with the dearth of patient- and family-centered care
title_full_unstemmed A daughter’s frustration with the dearth of patient- and family-centered care
title_sort daughter’s frustration with the dearth of patient- and family-centered care
publisher The Beryl Institute
publishDate 2014
url https://doaj.org/article/c40a693afc334399ad60fc3becbbf56a
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