Konsep dan Prinsip Pelayanan Berfokus pa
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“…care that is respectful of and responsive to
individual patient preferences, needs and values,
ensuring that patient values guide all clinical
decisions”
IOM. (2001). Crossing the Quality Chasm: A new health system for the
21s century. Washington, DC: National Academy Press.
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•
1988:The term
patient-centered
care was coined by
Harvey Picker
(McAdam, S : Transitioning to PCC to Improve Quality, HMA 2013, Bangkok)
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Patient Centered Care
1988
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•
Patient Centered Care
1988
• Harvey Picker ( 1915 – 2008)
• He was the founder of the Boston-based Picker Institute,
whose goal is to promote patient-centered healthcare.
• The term patient-centered care was coined by Harvey Picker,
1988
• He believed that the American health care system was
technologically and scientifically outstanding, but overall
was not sensitive to patients' concerns and their comfort
• In The Year 1986, they founded the Picker Institute, dedicated
to developing a patient-centered approach to healthcare
Kapan PCC berkembang ? →th 2000 → Patient Safety
→
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MODELS OF TREATMENT
DECISION-MAKING
Paternalistic model
Information transfer: One-way (doctor to patient) transfer of minimum medical
information necessary for informed consent
Deliberation: Doctor alone, or with other doctors
Decision about implementing treatment: Doctor
Shared decision-making model
Information transfer: Two way: doctor provides all medical information needed for decisionmaking. Patient provides information about preferences
Deliberation: Doctor and patient (possibly with others)
Decision about implementing treatment: Doctor and patient
Informed (patient) model
Information transfer: One way (doctor to patient) transfer of all medical information needed for
decision making
Deliberation: Patient (possibly with others)
Decision about implementing treatment: Patient
24
Six aims for improvement
health care system
Institute of Medicine : Crossing the Quality
Chasm: A New Health System for the 21st
Century, 2001
Safe.
Effective.
Patient-centered.
Timely.
Efficient.
Equitable.
• Enam elemen ini dilahirkan oleh IHI Institute for Helathcare Improvement
• Publikasi pertama PCC oleh IOM
• WHO menjadikan 6 elemen ini sbg definisi mutu pelayanan kesehatan
Six Dimension of Quality
W.H.O
Effective.
Efficient
Accessible
Patient-centered.
Equitable.
Safe.
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30
Partnering with Patients and Families to Design a Patient and Family-Centered Health Care System.
Johnson, B et al. Institute for Family-Centered Care 2008
•
•
•
•
•
•
•
“…care that is respectful of and responsive to
individual patient preferences, needs and values,
ensuring that patient values guide all clinical
decisions”
IOM. (2001). Crossing the Quality Chasm: A new health system for the
21s century. Washington, DC: National Academy Press.
•
•
1988:The term
patient-centered
care was coined by
Harvey Picker
(McAdam, S : Transitioning to PCC to Improve Quality, HMA 2013, Bangkok)
•
•
•
Patient Centered Care
1988
•
•
Patient Centered Care
1988
• Harvey Picker ( 1915 – 2008)
• He was the founder of the Boston-based Picker Institute,
whose goal is to promote patient-centered healthcare.
• The term patient-centered care was coined by Harvey Picker,
1988
• He believed that the American health care system was
technologically and scientifically outstanding, but overall
was not sensitive to patients' concerns and their comfort
• In The Year 1986, they founded the Picker Institute, dedicated
to developing a patient-centered approach to healthcare
Kapan PCC berkembang ? →th 2000 → Patient Safety
→
•
•
•
•
•
•
•
•
•
•
•
MODELS OF TREATMENT
DECISION-MAKING
Paternalistic model
Information transfer: One-way (doctor to patient) transfer of minimum medical
information necessary for informed consent
Deliberation: Doctor alone, or with other doctors
Decision about implementing treatment: Doctor
Shared decision-making model
Information transfer: Two way: doctor provides all medical information needed for decisionmaking. Patient provides information about preferences
Deliberation: Doctor and patient (possibly with others)
Decision about implementing treatment: Doctor and patient
Informed (patient) model
Information transfer: One way (doctor to patient) transfer of all medical information needed for
decision making
Deliberation: Patient (possibly with others)
Decision about implementing treatment: Patient
24
Six aims for improvement
health care system
Institute of Medicine : Crossing the Quality
Chasm: A New Health System for the 21st
Century, 2001
Safe.
Effective.
Patient-centered.
Timely.
Efficient.
Equitable.
• Enam elemen ini dilahirkan oleh IHI Institute for Helathcare Improvement
• Publikasi pertama PCC oleh IOM
• WHO menjadikan 6 elemen ini sbg definisi mutu pelayanan kesehatan
Six Dimension of Quality
W.H.O
Effective.
Efficient
Accessible
Patient-centered.
Equitable.
Safe.
•
•
•
•
•
•
•
30
Partnering with Patients and Families to Design a Patient and Family-Centered Health Care System.
Johnson, B et al. Institute for Family-Centered Care 2008
•
•
•