title: Patient-focused care: anatomy of a failure.
abstract: The article describes the experience of implementing patient-focused care from a physician's perspective. Pitfalls that guarantee failure are presented, many of which are avoidable with early participation by all parties involved: administrators, nursing staff, physicians, and patients. Contamination of the process with downsizing needs, lack of support for staff in dealing with necessary change, loss of administrative commitment, and withholding of appropriated funds are among the key errors to be avoided.
authors.affiliation: Bay Area Kidney Disease Physicians, Corpus Christi, Texas, USA.
authors.forename: J L
authors.initials: JL
authors.lastname: Birchall
mesh_terms: D001291:Attitude of Health Personnel; D006754:Hospital Restructuring / Q000458:organization & administration*; D006801:Humans; D008505:Medical Staff, Hospital / Q000523:psychology*; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*