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Dignity-driven decision making: a compelling strategy for improving care for people with advanced illness
Bruce C Vladeck1, Erin Westphal
1Nexera Incorporated, in New York City, USA. BVladeck@nexeraconsulting.com
Health Affairs (Project Hope)
|June 6, 2012
Summary
Dignity-driven decision making is a collaborative framework for advanced illness care, involving patients, families, and clinicians to define care goals. Early results suggest improved patient care, but cost-effectiveness requires further study.
Area of Science:
- Geriatrics
- Palliative Care
- Health Services Research
Background:
- Patient- and family-centered care are crucial for individuals with advanced illness.
- Existing models emphasize collaboration but may lack a specific focus on dignity.
Purpose of the Study:
- To introduce and describe the dignity-driven decision making model.
- To explore its potential impact on patient care and organizational practices.
Main Methods:
- The study outlines a framework, not a rigid structure, for collaborative decision-making.
- It draws on early experiences from organizations implementing the model.
Main Results:
- The dignity-driven decision making model promotes continuous collaboration among patients, families, and clinicians.
- Early organizational experiences indicate potential improvements in patient care quality.
Conclusions:
- The dignity-driven decision making model offers a promising approach to enhance care for patients with advanced illness.
- Further research is needed to determine its long-term cost-effectiveness and the impact of policy reforms for widespread adoption.
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