Patient-centered integrated networks of emergency care: consensus-based recommendations and future research priorities.
Patient-centered care is defined by the Institute of Medicine (IOM) as care that is responsive to individual patient needs and values and that guides the treatment decisions. This article is a result of a breakout session of the 2010 Academic Emergency Medicine (AEM) consensus conference and describes the process of developing consensus-based recommendations for providing patient-centered emergency care. The objectives of the working group were to identify and describe the critical gaps in the provision of patient-centered care, develop a consensus-based research agenda, and create a list of future research priorities. Using e-mail and in-person meetings, knowledge gaps were identified in the areas of respect for patient preferences, coordination of clinical care, and communication among health care providers. Four consensus-based recommendations were developed on the following themes: enhancing communication and patient advocacy in emergency departments (EDs), facilitating care coordination after discharge, defining metrics for patient-centered care, and placing the locus of control of medical information into patients' hands. The set of research priorities based on these recommendations was created to promote research and advance knowledge in this dimension of clinical care.
Department of Emergency Medicine, University of California, San Francisco, CA, USA. prasanthi.ramanujam@ucsf.edu
Prasanthi
P
Govindarajan
Gregory Luke
GL
Larkin
Karin V
KV
Rhodes
Gina
G
Piazza
Terri L
TL
Byczkowski
Meredith
M
Edwards
Jill M
JM
Baren
D002391:Catchment Area, Health; D057286:Electronic Health Records; D004632:Emergency Medical Services / Q000379:methods*; D006292:Health Priorities; D006297:Health Services Accessibility; D006801:Humans; D033183:Interdisciplinary Communication; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D010344:Patient Advocacy; D018802:Patient-Centered Care; D011369:Professional-Patient Relations; D012106:Research; D014481:United States