{"id":3533,"date":"2016-11-11T14:09:26","date_gmt":"2016-11-11T20:09:26","guid":{"rendered":"http:\/\/pmedicine.org\/?p=3533"},"modified":"2023-02-20T10:58:16","modified_gmt":"2023-02-20T15:58:16","slug":"relationship-centered-care","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/2016\/relationship-centered-care\/","title":{"rendered":"Relationship Centered Care"},"content":{"rendered":"

\"DaveRecently there has been a rebirth of the notion of relationship-centered care as a meaningful way of creating real and positive outcomes, utilizing all the tools available to the entire care team (including you, the patient).\u00a0 This November issue of our newsletter offers some insights, from a varied set of contributors, as to why this is so important right now<\/u><\/strong>.\u00a0 First, here is a take on how we got here.<\/p>\n

Healthcare 1.0:<\/u>\u00a0 Those of us who are a \u201ccertain age\u201d know this well.\u00a0 Quite simply, your doctor was in charge. You did what he (most of the time it was a he) told you to do. When you got sick, you made a phone call and waited patiently for the appointment, then waited patiently in the waiting room, then waited patiently in the exam room, then were spoken to in a paternalistic manner. And you left feeling like you may have understood 20% of what was said in there, but you trusted your doctor, your hospital system, your medication. You were \u2018made better\u2019 and you had little or nothing to do with it except to show up and follow orders.<\/p>\n

Healthcare 2.0:<\/u>\u00a0 Then things changed. You became the \u201ccenter\u201d of your care.\u00a0 You started paying more for it, your doctor\u2019s relationship changed because she or he was now focused on what billing code to use, what data to input into something called an electronic health record (that you couldn\u2019t get access to), your visit with your doctor seemed to be shorter, and your insurance company seemed to loom large over everything.\u00a0 And you had choices \u2013 primary care at the pharmacy, urgent care, online patient communities, and a bunch of new medications that seemed to take care of things you never even heard of. \u00a0Like walking through the cereal aisle at your grocery store and making a choice within 15 minutes \u2013 good luck!<\/p>\n

Healthcare 3.0:<\/u>\u00a0 If you are an optimist, this is the best time, the revitalization.\u00a0 You now have the opportunity to have a voice (the empowered patient), to gain access (i.e. Open Notes<\/a>), to connect easily (mhealth, online scheduling and more), to make very important healthcare decisions based on value (what a concept!), and to work with everyone on your healthcare \u201cteam\u201d \u2013 this is relationship-centered care.\u00a0\u00a0 Any good team working together shares risk, information, has empathy, leverages all tools available and is focused on a single goal: your personal health.\u00a0 This is personalized medicine, this is Healthcare 3.0, this is relationship-centered care.<\/p>\n

Jonathan Bush and others say it better here<\/a>.\u00a0 In the words of Dr. Zubin Damania, \u201cHealth 3.0 restores the human relationship at the heart of healing while bolstering it with a team that revolves around the patient while supporting each other as fellow caregivers. What emerges is vastly greater than the sum of the parts.\u201d<\/p>\n

A 2014 perspective in Healthcare<\/em><\/a> by Shantanu Nundy and John Oswald articulates the value of relationship-centered care to population health management. Yet there is still too much along the lines of physician burnout, like this<\/a>.<\/p>\n

With the support of the Society for Participatory Medicine, I reached out and gathered input from patients, physicians, nurse practitioners, healthcare societies, insurance companies, healthcare systems and more, to create collaborative innovation around relationship-centered care.\u00a0 We have published what we think is a highly readable and useable collection of content. Enjoy, react and please share through your own networks, so that we continue to grow the voice of the Society for Preventative Medicine.<\/p>\n

Thank you,<\/p>\n

Dave Dolton<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Recently there has been a rebirth of the notion of relationship-centered care as a meaningful way of creating real and positive outcomes, utilizing all the tools available to the entire care team (including you, the patient).\u00a0 This November issue of our newsletter offers some insights, from a varied set of contributors, as to why this […]<\/p>\n","protected":false},"author":24,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[2120],"tags":[2245,2248,2247],"coauthors":[2330],"jetpack_publicize_connections":[],"yoast_head":"\nRelationship Centered Care - 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