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Comment & Response
November 7, 2017

Challenges in Implementing Personalized Care Planning—Reply

Author Affiliations
  • 1Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, Oregon
  • 2Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland
  • 3Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
JAMA. 2017;318(17):1713-1714. doi:10.1001/jama.2017.14261

In Reply Dr Fix and colleagues highlight the important cultural challenges faced in the implementation of personalized care planning. Primary care is most commonly defined as first-contact care that is comprehensive, long-term, person-focused, and coordinated, all within the context of family and community.1 As such, contextualizing decisions about health care treatments to individual patient’s needs and circumstances is one of the core roles of a primary care clinician. However, we agree that this person-centered ideal is often not achieved in practice. Current measurement and reward systems in primary care often focus on disease-specific processes that may not be important to patients,2 and electronic health records in their current form do not accommodate patient perspectives.3 As such, tools and strategies to help primary care become more person-centered are desperately needed.

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