Bergeson SC, Dean JD. A systems approach to patient-centered care. Journal of the American Medical Association. 2006 Dec 20;296(23):2848-2851
Providing care centered on patients' needs and expectations is a key attribute of quality care. Unfortunately, despite the intent and efforts of many to improve patient centeredness, the quality of patient- clinician relationships, patient access, and continuity of care appear to be worsening in the US and lag behind other countries. Clinicians do not consistently address patients’ concerns, do not always assess patients’ beliefs and understanding of their illness, and often do not share management options with patients. In this Commentary, the authors propose four specific changes that should help the medical profession meet patients' needs.