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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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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Decision Making and Cost in Healthcare: The Patient Perspective.

Sarah E Lindsay1, Aaron Alokozai1, Sara L Eppler1

  • 1Stanford University School of Medicine, Stanford, California

Journal of Surgical Orthopaedic Advances
|May 15, 2023
PubMed
Summary

Patients believe physicians and themselves should guide treatment options, not insurers or hospitals. They are willing to share costs for more expensive, non-life-threatening treatments to improve healthcare value.

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Area of Science:

  • Health policy research
  • Patient-centered care
  • Healthcare economics

Background:

  • Unsustainable healthcare spending and suboptimal outcomes necessitate a shift towards value-based healthcare policy.
  • Current strategies like cost-sharing and gain-sharing models often overlook the crucial patient perspective.
  • Increasing patient-centered care requires understanding patient views on treatment decisions and cost responsibility.

Purpose of the Study:

  • To assess patient perspectives on who should constrain treatment options and bear costs in cases of clinical equipoise.
  • To inform healthcare policy development by incorporating patient insights into value-based strategies.

Main Methods:

  • Prospective study involving 118 patients at a hand clinic.
  • Patients were surveyed on their views regarding control over treatment choices and cost responsibility.
  • Scenarios presented involved clinical equipoise, where treatment options offered similar expected outcomes.

Main Results:

  • Patients believe insurance companies and hospitals should not limit treatment options.
  • Patients prefer shared decision-making with physicians regarding treatment availability.
  • Patients are amenable to cost-sharing for more expensive treatments, particularly for non-life-threatening conditions.

Conclusions:

  • Patient perspectives are vital for developing effective value-based healthcare policies.
  • Shared decision-making between patients and physicians can enhance treatment option influence.
  • Patient willingness to cost-share in specific scenarios offers a potential strategy for increasing healthcare value.