The changing face of internal medicine: Patient centred care

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• 作者：M.H.H. Kramer ; W. Bauer ; D. Dicker ; M. Durusu-Tanriover ; F. Ferreira ; S.P. Rigby ; X. Roux ; P.M. Schumm-Draeger ; F. Weidanz ; J.H. van Hulsteijn
• 关键词：Internal medicine ; Patient centred care ; Official EFIM position paper
• 刊名：European Journal of Internal Medicine
• 出版年：February, 2014
• 年：2014
• 卷：25
• 期：2
• 页码：125-127
• 全文大小：174 K

文摘

Patient centred care is now considered the gold standard and there should be 鈥榥o decision about me, without me鈥? Internists who treat patients with complex multi-morbidities should consider patients' preferred outcomes, following a 鈥榞oal-oriented鈥?principle. Perhaps the most important barrier to goal-oriented care is that medicine is deeply rooted in a disease-outcome-based paradigm. Rather than asking what patients want, the culture of modern medicine has prioritised optimal disease management according to guidelines and population goals. Doing what is right for the patient should be based on trust. Patients and internists must therefore meet as equals: 鈥業鈥?and 鈥榶ou鈥?should be replaced by 鈥榳e鈥?