Health Affairs

Health Affairs, 28, no. 4 (2009): w555-w565 (Published online 19 May 2009) doi: 10.1377/hlthaff.28.4.w555 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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What ‘Patient-Centered’ Should Mean: Confessions Of An Extremist

Donald M. Berwick

"Patient-centeredness" is a dimension of health care quality in its own right, not just because of its connection with other desired aims, like safety and effectiveness. Its proper incorporation into new health care designs will involve some radical, unfamiliar, and disruptive shifts in control and power, out of the hands of those who give care and into the hands of those who receive it. Such a consumerist view of the quality of care, itself, has important differences from the more classical, professionally dominated definitions of "quality." New designs, like the so-called medical home, should incorporate that change.

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				A. M. Mirabito and L. L. Berry Lessons That Patient-Centered Medical Homes Can Learn From the Mistakes of HMOs Ann Intern Med, February 2, 2010; 152(3): 182 - 185. [Abstract] [Full Text] [PDF]

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