Commentary: patient-centered care, the sine qua non of collaborative medicine

Collaborative medicine requires practitioners and disciplines with varied training and philosophies to work together toward a common clinical goal. Distinct differences between the various practitioners and disciplines can serve as both opportunities for synergy and barriers to collaboration. There must be a clear and compelling reason that motivates different practitioners and disciplines to do the hard work needed to overcome barriers to collaboration. Patient-centered care is the compelling reason, the defining characteristic that must underlie all collaborative medicine efforts. The practical application of this principle is illustrated by the experience of a large health care system (Catholic Health Initiatives). From a complexity theory standpoint, patient-centered care and collaboration can be thought of as simple rules that guide desirable behaviors in a complex system. The application of these two simple rules is as relevant in the microcosm of collaborative medicine as it is in the larger macrocosm of health care.