Chest
Decreasing the Global Burden of AsthmaPatient-Focused Care: Using the Right Tools
Section snippets
Patient Preferences for a Patient-Focused Approach
Patient-focused care aims to bring more equality into the physician/patient relationship as well as an understanding of the patient, not just their illness. However, models of medical management are generally conceived, tested, and disseminated by medical professionals.1
Do patients want patient-focused care? Little et al4 investigated patients' preferences for a patient-focused approach in the primary care consultation. These investigators4 administered a preconsultation questionnaire to 824
Barriers to Patient-Focused Care
If patient-focused care is preferred by most patients, why is it not universally adopted? In clinical practice, there are significant barriers to patient-focused care that need to be overcome.
Influencing Outcomes With Patient-Focused Care
If patients want patient-focused care, and the barriers to this approach can be overcome, will physicians achieve better results for their patients by adopting this method?
Participant Feedback and Discussion
Among other points, the workshop participants discussed the following:
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How do we address concerns about adverse events with our patients?
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Do you counsel patients by agreeing on a plan of action (concordance)?
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What are the potential barriers to patient-focused care?
Participants highlighted a number of points that they believed formed the basis of patient-focused care (Table 3). Patients are more likely to be motivated to follow treatment advice if they perceive the recommendations to be a
Conclusion
Asthma is a complex disease that in many instances affects patients throughout their lives. The three Cs of patient-focused care—communication, continuity of care, and concordance (finding common ground)—are highly relevant to the effective treatment of pulmonary disease and should be a key component of asthma management.
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2022, CollegianCitation Excerpt :The limited duration of the encounter, recognised by other authors as an obstacle to a person-centred approach (Moore et al., 2017), may have contributed to this finding. Some authors noted, however, the possibility of adopting a person-centred approach without increasing the duration of the consultation (Irwin & Richardson, 2006; Rutten et al., 2018) and even in less than 25 minutes (Rutten et al., 2018). In addition, the loss of the nurses' usual bearings combined with their ability to perform the intervention increasing with practice may indicate that the three-hour training initially offered was not sufficient for them to feel competent to perform the PSA-DSMS intervention.
Dr. Irwin has no potential personal or financial conflict of interest to disclose. N.D. Richardson discloses that she was contracted to provide author support on manuscript preparation by BoomCom Communications, Inc., Denver, CO. BoomCom Communications, Inc., was engaged by Altana Pharma, the sponsor of the supplement.
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).