A New Chapter in Patient-Centered Care: Sharing the Medical Note?
Authors: Monika M. Safford
Journal: Annals of Internal Medicine (2017)

Editorials20 February 2018A New Chapter in Patient-Centered Care: Sharing the Medical Note?Monika M. Safford, MDMonika M. Safford, MDWeill Cornell Medicine, New York, New York (M.M.S.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-2802 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The 21st century has ushered in a distinct emphasis on patient-centered care in allopathic medicine, as manifested by the increasing implementation of patient-centered medical homes and the frequent use of patient-centeredness in guidelines, health systems, and insurance language (1–5). The overall goal of this movement is to improve communication between physicians and patients, ultimately increasing patients' engagement in care and improving the shared decision-making process, and thereby increasing their proclivity to follow their physicians' advice. The costs attributed to nonadherence are staggering, estimated at $290 billion for medication nonadherence alone (6). Efforts to improve this situation are clearly warranted.Mafi ...References1. Bardes CL. Defining “patient-centered medicine.”. N Engl J Med. 2012;366:782-3. [PMID: 22375968] doi:10.1056/NEJMp1200070 CrossrefMedlineGoogle Scholar2. Barry MJ, Edgman-Levitan S. Shared decision making—pinnacle of patient-centered care. N Engl J Med. 2012;366:780-1. [PMID: 22375967] doi:10.1056/NEJMp1109283 CrossrefMedlineGoogle Scholar3. Calman NS, Hauser D, Weiss L, Waltermaurer E, Molina-Ortiz E, Chantarat T, et al. Becoming a patient-centered medical home: a 9-year transition for a network of Federally Qualified Health Centers. Ann Fam Med. 2013;11 Suppl 1:S68-73. [PMID: 23690389] doi:10.1370/afm.1547 CrossrefMedlineGoogle Scholar4. Cooper LA, Roter DL, Johnson RL, Ford DE, Steinwachs DM, Powe NR. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med. 2003;139:907-15. [PMID: 14644893] LinkGoogle Scholar5. National Committee for Quality Assurance. The future of patient-centered medical homes: foundation for a better health care system. 2014. Accessed at www.ncqa.org/Portals/0/Homepage/The_Future_of_PCMH.pdf on 19 October 2017. Google Scholar6. New England Healthcare Institute. Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. NEHI Research Brief. Boston: New England Healthcare Institute; August 2009. Accessed at www.nehi.net/writable/publication_files/file/pa_issue_brief_final.pdf on 25 October 2017. Google Scholar7. Mafi JN, Gerard M, Chimowitz H, Anselmo M, Delbanco T, Walker J. Patients contributing to their doctors' notes: insights from expert interviews. Ann Intern Med. 2018;168:302-5. doi:10.7326/M17-0583 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Weill Cornell Medicine, New York, New York (M.M.S.)Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-2802.Corresponding Author: Monika M. Safford, MD, Weill Cornell Medicine, 1300 York Avenue, F-2006A, New York, NY 10021; e-mail, [email protected]cornell.edu.This article was published at Annals.org on 14 November 2017. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPatients Contributing to Their Doctors' Notes: Insights From Expert Interviews John N. Mafi , Macda Gerard , Hannah Chimowitz , Melissa Anselmo , Tom Delbanco , and Jan Walker Metrics Cited byCancer patients’ information seeking behavior related to online electronic healthcare recordsPerception versus reality: Does provider documentation behavior change when clinic notes are shared electronically with patients?Online electronic healthcare records: Comparing the views of cancer patients and others 20 February 2018Volume 168, Issue 4Page: 298KeywordsHealth careHealth care policyHealth information technologyHealth insuranceNursesPatient advocacyPatientsPilot studiesPrimary care physiciansQualitative studies ePublished: 14 November 2017 Issue Published: 20 February 2018 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...