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Invited Commentary
December 3, 2018

A Focus on Patient-Centered Care Required to Address the Trauma of Hospitalization

Author Affiliations
  • 1Comprehensive Center for Healthy Aging, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham
  • 2Birmingham/Atlanta Geriatric Research, Education, and Clinical Care Center (GRECC), Birmingham, Alabama
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.5574

In Crossing the Quality Chasm: A New Health System for the 21st Century, the Institute of Medicine addressed how the nation’s health care system should be redesigned to improve the delivery of care. The report identified patient-centered care, defined as care that is “respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions,”1(p3) as 1 of 6 core components of the desired state-of-the-art care. Unfortunately, delivering patient-centered care in the hospital setting remains challenging because of the complexity and acuity of illness being treated, the frequency of changes within the health care team, and the rapid pace required to move patients through the system. According to this Institute of Medicine report, determining how to implement patient-centered care within hospital systems is critical to improve the quality of care provided.

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