Healthcare explores the frontiers of patient-centered innovation
December 17, 2013
Boston, MA – The December issue of Healthcare: The Journal of Delivery Science and Innovation explores policies and delivery strategies that focus health care on the needs, values, and informed preferences of patients and their caregivers. Debra Ness, President of the National Partnership for Women & Families, writes in an opening editorial that “amidst all of the excitement and innovation occurring with health care reform, we cannot lose sight of why our health care system exists in the first place: to serve the patient.” She notes that the content of this issue “will help us advance the reforms the health care system needs and re-focus it on the women, men and children it is intended, and should be designed, to serve.”
Featured content from this issue includes:
- Making the most of short visits. Richard Grant and colleagues from the Kaiser Permanente Division of Research provide a novel framework for establishing visit priorities for complex patients. The model maximizes the value of available time during the primary care encounter by facilitating communication between a prepared patient who has had time before the visit to identify his/her priorities, and an informed provider who is aware of the patient’s care priorities at the beginning of the visit.
- Preparing the health care workforce to provide patient-centered care. Asaf Bitton and colleagues detail a new program for undergraduate and graduate medical training within patient-centered medical homes. This program blends the goals of patient-centered care and inter-professional education, and can be implemented in existing training environments. The authors report the results of piloting this program at an academic medical center primary care clinic.
- Achieving patient-centered cancer care for disadvantaged patients. A pair of case studies by Christopher Lathan and colleagues describes how the Dana Farber Cancer Institute integrated oncology specialty care into community health clinics in order to reduce disparities and provide more patient-centered care. Their model created greater comfort and convenience for patients; facilitated closer follow-up; encouraged coordination and communication among patients, primary care providers, and specialists; and enabled more efficient and reliable transitions to the specialty care when needed.
- Online videos can engage patients and avoid unnecessary care. A paper by Angelo Volandes and colleagues from Massachusetts General Hospital describes how open-access online videos can empower patients and clinicians. The authors found that providing patients with videos in advance of their visits helps patients avoid unwanted medical treatments, and allows the office visit to center on activities that promote patient-centeredness and engagement, including confirming patient comprehension, ascertaining values, and establishing goals.
- How to make employer-sponsored health programs more patient-centered. More and more employers are searching for ways to incentivize health and wellness, but most programs have been unsuccessful. A paper from Jeffrey Kullgren and colleagues from the University of Michigan finds that a lack of patient-centeredness in such programs is contributing to these results. Drawing on health behavior theory, the authors propose strategies for making employer-sponsored incentives more patient-centered such as engaging employees in their design and delivery and better tailoring programs to specific patient needs.
The December issue also contains interviews and perspectives from a wide variety of leaders in policy, management, and government:
- In an interview, Don Berwick, former Administrator of the Centers for Medicare & Medicaid Services and former President of the Institute of Healthcare Improvement, outlines his thoughts on the priorities for the next stages of health reform
- A conversation with “e-Patient Dave” deBronkart on topics such as patient participation in evidence based medicine and health literacy is accompanied by a review of his book, Let Patients Help
- An interview with Institute of Medicine President Harvey Fineberg explores his views on patient-centered care and the challenge of integrating patient preferences in clinical decision-making
- Dave Chokshi and colleagues from the Veterans Health Administration discuss the successes and challenges of transforming the VHA into a more patient-centered health care system
- An interview with Carolyn Clancy (former longtime director of the Agency for Healthcare Research and Quality) describes AHRQ’s efforts to promote patient engagement and patient-centered care, and provides her views on the priority target areas for health services research
This issue of Healthcare was co-edited by Katy Backes Kozhimannil, MPA, PhD and Jonathan Welch, MD, MSc. Dr. Kozhimannil is an Assistant Professor at the University of Minnesota School of Public Health, and Dr. Welch is an Instructor in Medicine at Harvard Medical School and an Attending Physician at Brigham and Women’s Hospital.
The full issue of Healthcare is available for free online at the journal’s website.
About Healthcare: Healthcare: The Journal of Delivery Science and Innovation promotes cutting edge research on innovation in health care delivery, including improvements in systems, processes, management, and applied information technology. Published quarterly by Elsevier, Healthcare is a peer-reviewed publication is a forum for the dissemination of ideas that improve patient care.
Healthcare was co-founded by Amol Navathe, MD, PhD, and Sachin Jain, MD, MBA, who also serve as co-Editors-in-Chief. Senior Editors-in-Chief include Ashish Jha, MD, MPH, Arnold Milstein, MD, MPH, and Richard Shannon, MD.