2014
DOI: 10.2215/cjn.01930214
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Patient-Centered Care

Abstract: In light of mounting federal government debt and levels of Medicare spending that are widely viewed as unsustainable, commentators have called for a transformation of the United States health care system to deliver better care at lower costs. This article presents the priorities of the Coalition for Supportive Care of Kidney Patients for how clinicians might achieve this transformation for patients with advanced CKD and their families. The authors suspect that much of the high-intensity, high-cost care current… Show more

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Cited by 74 publications
(73 citation statements)
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“…Since the publication of the IOM report, there has been growing national interest in more individualized, patient-centered models of care (7,42). Patient-centered care seeks to tailor treatment strategies to what matters most to individual patients and align treatment plans and quality metrics to optimize patientimportant goals and preferences to maximize patient quality of life (43). If care is to be patient-centered care, it follows that patients and their caregivers should be included when priorities for clinical care and research are being established.…”
Section: Domains Of Quality Measurement Particularly Relevant To the mentioning
confidence: 99%
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“…Since the publication of the IOM report, there has been growing national interest in more individualized, patient-centered models of care (7,42). Patient-centered care seeks to tailor treatment strategies to what matters most to individual patients and align treatment plans and quality metrics to optimize patientimportant goals and preferences to maximize patient quality of life (43). If care is to be patient-centered care, it follows that patients and their caregivers should be included when priorities for clinical care and research are being established.…”
Section: Domains Of Quality Measurement Particularly Relevant To the mentioning
confidence: 99%
“…Value-based purchasing is a well intentioned step in the right direction. The CMS need to implement significant changes in how they develop measures for the ESRD QIP for it to be patient centered and assess what matters most to patients on dialysis (3,43). …”
Section: Proposed Patient-centered Quality Metrics For the Esrd Qipmentioning
confidence: 99%
“…Also, the calculator for risk of progression of CKD to ESRD can help determine timing (24). Too strict an adherence to guideline-based care and quality metrics without discrimination by clinical status and goals of care can hinder a more nuanced and patient-centered approach to care (29,52,59).…”
Section: Beneficence and Nonmaleficence Need To Be Viewed Through Thementioning
confidence: 99%
“…Once key goals have been identified, patients often need help weighing their options to help them achieve their most important goals (59). There are, however, several challenges to true informed consent and shared decision-making.…”
Section: Shared Decision-making As An Answer To the Ethical Challengesmentioning
confidence: 99%
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