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Comment & Response
November 7, 2017

Challenges in Implementing Personalized Care Planning

Author Affiliations
  • 1Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts
JAMA. 2017;318(17):1713. doi:10.1001/jama.2017.14254

To the Editor Dr Edwards and colleagues1 asked if personalized care planning can improve primary care. Their discussion belies the complexity of implementing their 3 essential components without an underlying organizational transformation. Personalized care planning is predicated on patient-centered care, necessitating cultural transformation toward a biopsychosocial perspective, seeing the patient as a person and the physician as a person, each sharing power and responsibility, and a therapeutic alliance2—features often at odds with a disease-focused culture of medicine.

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