{"id":5172,"date":"2010-03-23T02:48:40","date_gmt":"2010-03-23T07:48:40","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=5172"},"modified":"2014-03-13T00:10:42","modified_gmt":"2014-03-13T04:10:42","slug":"nspfs-universal-patient-compact","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2010\/03\/nspfs-universal-patient-compact.html","title":{"rendered":"NPSF’s magnificent Universal Patient Compact"},"content":{"rendered":"

Updated 3\/12\/2014 with new links at bottom.<\/em><\/p>\n

One of my personal pleasures in the first year of the Society for Participatory Medicine has been discovering people in other parts of the “patient culture” who’ve been doing wonderful, empowering, participatory things for years – and who’ve already been producing valuable results for years. Example: the patient safety movement.<\/p>\n

On Paul Levy’s blog I learned about Linda Kenney, founder of MITSS<\/a>; I met her and wrote about her here<\/a>. Through her and others I met folks from the National Patient Safety Foundation<\/a>, and especially its Lucien Leape Institute, which published a major report<\/a> this month with a solid systemic look at cultural challenges in paternalistic medicine. Even got to be in a small group workshop with Lucien himself last fall. (Didn’t know who he was, but I thought “This guy knows his stuff!” Funny.)<\/p>\n

Sometime this winter I got my hands on this magnificent NPSF document. Any of it sound familiar?
\n<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
The Universal Patient Compact<\/strong>\u2122
\nPrinciples for Partnership
\n\u00a9 2008 NPSF<\/td>\n<\/tr>\n
As your healthcare partner
\nwe pledge to:<\/strong><\/td>\n		As a patient I pledge to:<\/strong><\/td>\n<\/tr>\n
Include you as a member of the team<\/td>\nBe a responsible and active member of my healthcare team<\/td>\n<\/tr>\n
Treat you with respect, honesty and compassion<\/td>\nTreat you with respect, honesty and consideration<\/td>\n<\/tr>\n
Always tell you the truth<\/td>\nAlways tell you the truth<\/td>\n<\/tr>\n
Include your family or advocate when you would like us to<\/td>\nRespect the commitment you have made to healthcare and healing<\/td>\n<\/tr>\n
Hold ourselves to the highest quality and safety standards<\/td>\nGive you the information that you need to treat me<\/td>\n<\/tr>\n
Be responsive and timely with our care and information to you<\/td>\nLearn all that I can about my condition<\/td>\n<\/tr>\n
Help you to set goals for your healthcare and treatment plans<\/td>\nParticipate in decisions about my care<\/td>\n<\/tr>\n
Listen to you and answer your questions<\/td>\nUnderstand my care plan to the best of my ability<\/td>\n<\/tr>\n
Provide information to you in a way you can understand<\/td>\nTell you what medications I am taking<\/td>\n<\/tr>\n
Respect your right to your own medical information<\/td>\nAsk questions when I do not understand and until I do understand<\/td>\n<\/tr>\n
Respect your privacy and the privacy of your medical information<\/td>\nCommunicate any problems I have with the plan for my care<\/td>\n<\/tr>\n
Communicate openly about benefits and risks associated with any treatments<\/td>\nTell you if something about my health changes<\/td>\n<\/tr>\n
Provide you with information to help you make informed decisions about your care and treatment options<\/td>\nTell you if I have trouble reading<\/td>\n<\/tr>\n
Work with you, and other partners who treat you, in the coordination of your care<\/td>\nLet you know if I have family, friends or an advocate to help me with my healthcare<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

.<\/span>
\nCompare and contrast: what’s the difference between this and what we’re talking about in participatory medicine?<\/p>\n

There’s more to PM than patient safety (avoiding errors), although we expect safety will be one outcome of patient engagement. (The Journal of Participatory Medicine seeks evidence.)<\/p>\n

My list of differences so far:<\/p>\n