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.
Fix GM, Bolton RE, Bokhour BG. Challenges in Implementing Personalized Care Planning. JAMA. 2017;318(17):1713. doi:10.1001/jama.2017.14254