Patient centered care blog

Definition of patient-centered care: “It is well established now that one can, in fact, improve the quality of health care and reduce the costs at the same time”. Physicians practicing patient-centered care improve their patients’ clinical outcomes and satisfaction rates by improving the quality of the doctor-patient relationship, while at the same time decreasing the utilization of diagnostic testing, prescriptions, hospitalizations, and referrals.  Patient-centered practitioners focus on improving different aspects of the patient-physician interaction by employing measurable skills and behaviors. (healthaffairs.org).

Collaboration on the plan of care: Providing evidence of what works and what does not work regarding the implementation of collaborative, interprofessional primary health care. Creating resources and tools to assist various health care professionals to work in a more collaborative environment; and obtaining support and agreement among various professionals about their roles and responsibilities in collaborative settings. Create a culture of interprofessional collaboration.  patient/client engagement; population health approach; best possible care and services; Access; trust and respect; and effective communication (www.fhs.mcmaster.ca).

Patient and provider compromise on the plan of care: Lack of proper communication between provider and patient. Physician-centered care which ignores patients beliefs regarding health. lack of time for proper implementation; accountability for patient care is ambiguous.

Benefits of patient-centered care: Improves patient satisfaction. Help to establish a trustworthy relationship between patient and provider. Better communication and better outcomes.  Better management of chronic conditions. Increasing the focus on prevention. Improving quality, safety, performance, and accountability.

Reference:

Patient-Centered Care: What It Means And How To Get There. (n.d.). Retrieved October 23, 2016, from http://healthaffairs.org/blog/2012/01/24/patient-centered-care-what-it-means-and-how-to-get-there/

Putting Patients First: Patient-Centered Collaborative Care. (n.d.). Retrieved October 23, 2016, from http://www.fhs.mcmaster.ca/surgery/documents/CollaborativeCare

Using diagnostics in the clinical blog

  • Identify up to five diagnostic tools used in acute or episodic care that you have used or seen used in your clinical practice.
  • Can you give examples of pros and cons to using or not using diagnostics? For example, the pros and cons of ordering a rapid strep test.

The diagnostic tools that I have seen in my clinical rotation are EKG, rapid strep test, pap smear, Hgb testing, urinalysis, and colposcopy. EKG provides basic information regarding the heart rhythm when a patient comes with chest pain, palpitations or irregular or skipped heart beats. Rapid Strep test used to rule out streptococcal infection to provide antibiotics needed for the patient. Pap smear is diagnostic screening procedure for cervical cancer. It tests for the presence of precancerous or cancerous cells on the cervix, the opening of the uterus. When the pap smear results show abnormalities than colposcopy test performed to get a biopsy from the cervix to detect cervical cancer. Hgb testing is done to check the level of Hemoglobin level in patients with anemia, recent heavy bleeding. Urinalysis is screening test to detect problems related to urine such as urinary tract infections.

The pros of these diagnostic tools help to make accurate and early diagnosis to initiate treatment as needed. It helps to detect contagious infections early. The cons of using diagnosis are that they are not always correct if the sample is not taken the correct way it is supposed to it gives false results. It is difficult to estimate the impact the various measurement tools identified in this review would have in improving patient safety. Tools in primary care environments have the potential to contribute to a serious error that can cause both morbidity and mortality; which has been demonstrated in the field of prescribing.

Reference:

Tools for primary care patient safety. (n.d.). Retrieved October 06, 2016, from http://www.medscape.com/viewarticle/834550_2