Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

ABIM: Patient centered care is crucial in health reform

Christine K. Cassel, MD
Policy
August 4, 2010
Share
Tweet
Share

A guest column by the American Board of Internal Medicine, exclusive to KevinMD.com.

abim logoThe concept of patient-centered care was catapulted into the mainstream by the publication in 2001 of the seminal Institute of Medicine report Crossing the Quality Chasm: A New Health System for the 21st Century.  This report identified six aims of improvement for the U.S. healthcare system by asserting that care must be: safe, effective, patient-centered, timely, efficient and equitable.

A definition of patient centered care advanced by the Institute for Health Care Improvement (IHI) includes consideration of “patients’ cultural traditions, their personal preferences and values, their family situations, and their lifestyles.  It makes the patient and their loved ones an integral part of the care team who collaborate with health care professionals in making clinical decisions… [and] ensures that transitions between providers, departments, and health care settings are respectful, coordinated, and efficient.  When care is patient centered, unneeded and unwanted services can be reduced.”

In other words, a truly patient-centered health care system may provide higher quality health care, improve patients’ experiences and increase efficiency.

The American Board of Internal Medicine has integrated patient-centeredness into its Maintenance of Certification program by including patient experience surveys in most of its practice performance tools.  Other American Board of Medical Specialties boards are doing the same.

Patient-centeredness is also integrated into a number of health reform initiatives.  The Patient Protection and Affordable Care Act includes a number of innovative pilot programs that will evaluate the Patient-Centered Medical Home.  The law also calls for the creation of a “Physician Compare” website, which will allow the public to compare quality data at the physician level, including “an assessment of patient experience and patient, caregiver, and family engagement.”

As I was reflecting on the crucial role of patient-centered care in health reform, I remembered Don Berwick’s inspiring lecture at ABIM Foundation’s 2008 Forum entitled “What ‘Patient-Centered’ Should Mean: Confessions of an Extremist” (later published in Health Affairs).   During his speech, Dr. Berwick proposed that the patient should truly be at the center of the health care system:

“For better or worse, I have come to believe that we—patients, families, clinicians, and the health care system as a whole—would all be far better off if we professionals recalibrated our work such that we behaved with patients and families not as hosts in the care system, but as guests in their lives.  I suggest that we should without equivocation make patient-centeredness a primary quality dimension all its own, even when it does not contribute to the technical safety and effectiveness of care.”

This vision is a far cry from critics’ claims that Dr. Berwick wants to ration care.  In fact, anticipating the criticisms of people in the room, he cited studies that show the connection between patient-centered care and effectiveness and efficiency.  And Dr. Berwick’s leadership at IHI has embodied this vision which I hope he can also bring to fruition in his new role as the Administrator of the Centers for Medicare and Medicaid Services.

Truly patient-centered health reform has the potential to achieve the “Triple Aim” that has thus far been so elusive – improving patients’ experience, bettering the health of our nation as a whole, and reducing health care costs.  At a time when – as a recent Commonwealth Fund study shows – the United States ranks last or next-to-last in quality of care measures when compared with 5 international systems (Australia, Canada, Germany, Netherlands, New Zealand and the United Kingdom), and policymakers are implementing healthcare reform, it is crucial to focus on patient-centered care and the promise it holds to improve both quality and affordability.

Christine Cassel is President and CEO of the American Board of Internal Medicine.

Prev

Bacterial resistance to chronic antibiotics, and why it's a problem

August 4, 2010 Kevin 11
…
Next

Notes in the chart are helping patients less

August 4, 2010 Kevin 16
…

Tagged as: Patients, Primary Care, Public Health & Policy

Post navigation

< Previous Post
Bacterial resistance to chronic antibiotics, and why it's a problem
Next Post >
Notes in the chart are helping patients less

ADVERTISEMENT

More by Christine K. Cassel, MD

  • a desk with keyboard and ipad with the kevinmd logo

    5 questions to ask before buying health insurance

    Christine K. Cassel, MD
  • a desk with keyboard and ipad with the kevinmd logo

    ABIM: Maintenance of Certification (MOC) exams assess clinical judgment

    Christine K. Cassel, MD
  • a desk with keyboard and ipad with the kevinmd logo

    ABIM responds to doctors sharing board certification questions

    Christine K. Cassel, MD

More in Policy

  • Online eye exams spark legal battle over health care access

    Joshua Windham, JD and Daryl James
  • The One Big Beautiful Bill and the fragile heart of rural health care

    Holland Haynie, MD
  • Why health care leaders fail at execution—and how to fix it

    Dave Cummings, RN
  • Healing the doctor-patient relationship by attacking administrative inefficiencies

    Allen Fredrickson
  • The hidden health risks in the One Big Beautiful Bill Act

    Trevor Lyford, MPH
  • The CDC’s restructuring: Where is the voice of health care in the room?

    Tarek Khrisat, MD
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 5 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

ABIM: Patient centered care is crucial in health reform
5 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...