IOM CORE COMPETENCY PAPER: REFLECTION AND RESEARCH PAPER

Patient-centered care is the IOM concept chosen for this paper. Patient-centered care defines a mutual relationship that is established between the patient, his or her family, and the doctor in the process of meeting the patient values and needs as these influence the clinical decisions made by the doctors in the restoration of a patient health. To achieve a care that realizes patient-centered care on, the medical practitioners must involve the patients in every decision that they make as this will make sure that the interest of the patients is taken into consideration at all time during treatment.

                         Patients in the process of seeking medical attention, good communication, personal relationship with the doctor as well as empathy will always play a key role in health restoration of the patient. The doctors at all-time should work towards meeting the patient’s medical issues having in mind the dignity, values and well-being of the patient. This will lead to a satisfactory treatment of the patient, and the correction of the medical issues with the patient will be smooth encounter as the needs of the patients are meet in the process. In patient-centered care, physician empathy is also key to meeting the medical demands of the patient because a trust, as well as information exchange, will be so easy to the patient identity with the doctor. This will encourage the patient to completely confide in the doctors, and a quick solution is reached in the process of attending to the patient.

Peer-review article in forming an independent opinion in improving the patients’ outcome

                         As reported by Shaller Dele in her article on what does it take in patient-centered care, to improve the outcome of the patients in a medical care process, the key leadership engagement, improved quality of the built environment and a supportive information and technology system must be included in medical facilities. The management is the pace setter in ensuring that quality care is given to the patient within the facility they head. This will develop a culture of having the patient’s interest at heart by the doctors hence a quick and thorough treatment of the patient will be achieved. In addition, an elaborate built environment will play a key role in meeting an effective patient-centered care to the patient. The environment should be conducive to the patient to feel the comfort as well as build a trust between him or her and the doctor hence a mutual understanding leading to an elaborate medical procedure in line with the patient’s interest.

                         IOM and Cronenwett’s articles further reports that in improving the patient outcome, the friend and family members of the patients must be considered as part of the care team as far as patient-centered care is concerned. These individuals are concerned about their patient and proper communication ensured between them and the medical caregiver, will influence the outcome by obtaining the relevant information on the patient that will assist in medical procedures. Corporation between these individuals ensure the interest, values, as well as needs of the patients, are met in time for a proper recovery measure. All this will ensure that the outcome of the patient will be improved at all time.

How to impact clinical practices as well as the patient outcomes with patient-centered care

                         To begin with, I would ensure that transparency is the core issue in the care of the patient as this will encourage the development of trust between the caregivers and the patients together with their friends and families. The medical practitioners, in my opinion, should be upfront as well as very honest with the information about the patients. This will also help the patients to make an informed decision hence improve the clinical practices as well as improve the patients’ outcome.

                         In addition, I would ensure the patients are in control of their care in that they determine the course of action in the medical procedure. By doing this, patients will feel involved in the clinical process hence a trust developed between caregivers and the patients leading to an improves outcome. With the feeling that they have control of their clinical process, the patients will speak freely to the caregivers about their clinical conditions.

                         Finally, I would ensure a proper channel of patient feedback is ensured in the process of caregiving. Patients are entitled to know what medical procedure are to be done on them. Therefore, the results of such procedures are very crucial and must be availed of them in time to make a proper decision.

Challenges in healthcare delivery

                         One major challenge is payments of medical practitioners, as most hospitals are either public or private but the caregivers must be paid in most occasion. A barrier to proper payment to the medical caregivers is a lack of sufficient funds to appreciate the medical practitioners. Most underdeveloped countries may be undergoing economic crisis hence unable to pay promptly the caregivers in time.

                         Malpractices such as corruption and other ethical behaviors are currently on the rise in most undeveloped countries. The barriers to solving such issues are due to lack of proper and legal procedures in dealing with such cases. Most of the medical practitioners who commit such unethical behaviors go unpunished most of the time leading to a medical system that is not patient-centered care.

Reference

 Panel, I. E. C. E. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Interprofessional Education Collaborative Expert Panel.

Roofe, N., Lairamore, C., & McCullough, K. (2015). Participation in an Interprofessional Health Fair: Student Perceptions of Teamwork and the Role of Faculty. Health and Interprofessional Practice2(4), 2.

Shaller, D. (1998). A National Action Plan to Meet Health Care Quality Information Needs in the Age of Managed Care. JAMA279(16), 1254. http://dx.doi.org/10.1001/jama.279.16.1254