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Spotlight Case February 2007 The ‘Customer’ Is Always Right
Source and Credits ,[object Object],[object Object]
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case: The ‘Customer’ Is Always Right ,[object Object]
[object Object],Case: The ‘Customer’ Is Always Right
[object Object],Case: The ‘Customer’ Is Always Right
Identifying the Patient’s Agenda ,[object Object],[object Object],[object Object],Marvel MK, et al. JAMA. 1999;281:283-287.  Dyche L, Swiderski D.  J Gen Intern Med. 2005;20:267-270.
The Open-Ended Question ,[object Object],[object Object],Dyche L, Swiderski D.  J Gen Intern Med. 2005;20:267-270.
The Open-Ended Question ,[object Object],[object Object],[object Object],[object Object]
Identifying the Patient’s Agenda ,[object Object],[object Object],Marvel MK, et al. JAMA. 1999;281:283-287. Beckman HR, Frankel RM. Ann Intern Med. 1984;101:692-696.
Unmet Expectations ,[object Object],[object Object],Kravitz RL, et al. Ann Intern Med. 1996;125:730-737. Bell RA, et al.  J Gen Intern Med. 2002;17:817-824. Peltenburg M, et al.  Ann Fam Med. 2004;2:534-540.
Patient Satisfaction ,[object Object],[object Object]
Case (cont.): The ‘Customer’ Is Always Right ,[object Object]
How Would You Feel as a Parent? ,[object Object],[object Object],[object Object],[object Object]
Patient-Centered Care ,[object Object],Committee on Quality of Health Care in America, Institute of Medicine. 2001.
Picker Institute’s 7 Prime Aspects of  Patient-Centered Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Institute for Alternative Futures on behalf of The Picker Institute; July 2004.
Current System: Provider-Centered Care ,[object Object],Audet AM, et al. Arch Intern Med. 2006;166:754-759.
Patient-Centered Care Initiatives ,[object Object],[object Object],See Notes for complete references
Take-Home Points ,[object Object],[object Object],[object Object]

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Listening to the Family

  • 1. Spotlight Case February 2007 The ‘Customer’ Is Always Right
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Notes de l'éditeur

  1. 1. Marvel MK, Epstein RM, Flowers K, Beckman HB. Soliciting the patient's agenda: have we improved? JAMA. 1999;281:283-287. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9918487 2. Dyche L, Swiderski D. The effect of physician solicitation approaches on ability to identify patient concerns. J Gen Intern Med. 2005;20:267-270. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=15836531
  2. 2. Dyche L, Swiderski D. The effect of physician solicitation approaches on ability to identify patient concerns. J Gen Intern Med. 2005;20:267-270. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=15836531
  3. 1. Marvel MK, Epstein RM, Flowers K, Beckman HB. Soliciting the patient's agenda: have we improved? JAMA. 1999;281:283-287. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9918487 3. Beckman HR, Frankel RM. The effect of physician behavior on the collection of data. Ann Intern Med. 1984;101:692-696. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=6486600
  4. 8. Kravitz RL, Callahan EJ, Paterniti D, Antonius D, Dunham M, Lewis CE. Prevalence and sources of patients' unmet expectations for care. Ann Intern Med. 1996;125:730-737. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=8929006 9. Bell RA, Kravitz RL, Thom D, Krupat E, Azari R. Unmet expectations for care and the patient-physician relationship. J Gen Intern Med. 2002;17:817-824. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=12406352 10. Peltenburg M, Fischer JE, Bahrs O, van Dulmen S, van den Brink-Muinen A. The unexpected in primary care: a multicenter study on the emergence of unvoiced patient agenda. Ann Fam Med. 2004;2:534-540. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=15576537
  5. Speaker: elicit audience response
  6. 11. Committee on Quality of Health Care in America, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
  7. 12. The Institute for Alternative Futures on behalf of The Picker Institute. Patient-Centered Care 2015: Scenarios, Vision, Goals & Next Steps. Camden, ME: The Picker Institute; July 2004.
  8. 16. Audet AM, Davis K, Schoenbaum SC. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166:754-759. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=16606812
  9. 17. Rutherford P, Lee B, Grelner A. Transforming Care at the Bedside [white paper]. Boston, MA: Institute for Healthcare Improvement; 2004. 18. American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, O'Malley P, Brown K, Mace SE. Patient- and family-centered care and the role of the emergency physician providing care to a child in the emergency department. Pediatrics. 2006;118:2242-2244. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=17079599 19. Patient- and Family-Centered Care and the Role of the Emergency Physician Providing Care to a Child in the Emergency Department [policy statement]. American College of Emergency Physicians Web site. Available at: http://www.acep.org/webportal/PracticeResources/PolicyStatements/peds/ptfamctredcare.htm . Accessed January 26, 2007.