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Related Concept Videos

Patient-centered Care01:13

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Data Reporting and Recording01:24

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Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
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Related Experiment Video

Updated: Aug 15, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Advancing digital patient-centered measurement methods for team-based care.

Marcy G Antonio1, Selena Davis2, Mindy Smith3,4

  • 1School of Information, University of Michigan, Ann Arbor, MI, USA.

Digital Health
|January 5, 2023
PubMed
Summary

This study introduced a portal to develop new patient-centered measurement methods for team-based care. Five novel methods were conceptualized to enhance care integration and patient involvement.

Keywords:
Patient-centered carehealth carepatient generated health datapatient participationpatient portalspatient-reported outcome measuresquality assuranceshared decision-making

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Area of Science:

  • Health Services Research
  • Clinical Informatics
  • Patient-Centered Care

Background:

  • Integrating patient-centered measurement into team-based care is crucial for improving healthcare quality.
  • Existing models often lack structured approaches for incorporating patient perspectives within team workflows.
  • Rural clinics face unique challenges in adopting innovative patient engagement strategies.

Purpose of the Study:

  • To conceptualize novel methods for integrating patient-centered measurement into team-based care settings.
  • To explore the utility of a digital portal in facilitating this integration process.
  • To develop practical tools and frameworks for healthcare teams.

Main Methods:

  • A standalone digital portal was implemented in a rural clinic setting.
  • The portal included online resources, patient-reported measures, and action planning tools.
  • Data were collected through clinic discussions, interviews, workflow diagrams, and portal usage analytics.
  • Qualitative analysis involved coding transcripts and cross-referencing multiple data sources.

Main Results:

  • Five distinct team-based patient-centered measurement methods were conceptualized.
  • Methods include Patient-Centered Measurement Team Mapping, Longitudinal Care Alignment, and Digital Tool Exploration.
  • Team-based quality improvement and shared learning frameworks were also developed.
  • These methods aim to clarify roles, guide integration into practice, and assess digital tool impact.

Conclusions:

  • The study successfully conceptualized new methods for integrating patient-centered measurement into team-based care.
  • The developed methods offer practical approaches for assessing and enhancing patient-centered care delivery.
  • Further research is needed to validate these methods across diverse clinical settings and patient populations.