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Related Experiment Videos

Health Care Systems Support to Enhance Patient-Centered Care: Lessons from a Primary Care-Based Chronic Pain

Charles R Elder1, Lynn L Debar2, Cheryl Ritenbaugh3

  • 1Physician Lead for Integrative Medicine at Kaiser Permanente Northwest and an Affiliate Investigator at the Center for Health Research in Portland, OR. charles.elder@kpchr.org.

The Permanente Journal
|April 14, 2017
PubMed
Summary

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Engaging patients and physicians in self-care support for chronic pain requires careful planning. A pilot study found that involving diverse stakeholders, including those new to research, improved patient-centered care but needed more time for training and coordination.

Area of Science:

  • Health Services Research
  • Patient-Centered Care
  • Chronic Pain Management

Background:

  • Supporting patient self-care is crucial for chronic pain management but presents challenges for patients and primary care physicians.
  • Tools are needed for patients to identify and communicate their priorities to physicians at the point of care.

Purpose of the Study:

  • To describe the process of engaging diverse stakeholders in a pilot randomized controlled trial of a patient-centered assessment process.
  • To identify lessons for enhancing stakeholder engagement and patient-centered care in primary care settings for chronic conditions.

Main Methods:

  • Qualitative analysis of project minutes, interviews, and focus groups.
  • Evaluation of stakeholder experiences, including patients, caregivers, clinicians, staff, administrators, IT consultants, and patient advocates.

Related Experiment Videos

Main Results:

  • Involving patients with no prior research experience enriched feedback but required additional time for training and preparation.
  • Stakeholder composition varied, necessitating greater involvement from medical assistants and Information Technology staff than initially planned.

Conclusions:

  • Effective patient-centered care for chronic conditions requires coordinated engagement of patient and physician stakeholders.
  • Robust healthcare system support is essential for the successful implementation of patient-centered processes.