title: Client Centeredness and Health Reform: Key Issues for Occupational Therapy.
abstract: Health reform promotes the delivery of patient-centered care. Occupational therapy's rich history of client-centered theory and practice provides an opportunity for the profession to participate in the evolving discussion about how best to provide care that is truly patient centered. However, the growing emphasis on patient-centered care also poses challenges to occupational therapy's perspectives on client-centered care. We compare the conceptualizations of client-centered and patient-centered care and describe the current state of measurement of client-centered and patient-centered care. We then discuss implications for occupational therapy's research agenda, practice, and education within the context of patient-centered care, and propose next steps for the profession.
authors.affiliation: Tracy M. Mroz, PhD, OTR/L, is Assistant Professor, Division of Occupational Therapy, Department of Rehabilitation Medicine, University of Washington, Seattle; tmroz@uw.edu.
authors.forename: Tracy M
authors.initials: TM
authors.lastname: Mroz
authors.affiliation: Jennifer S. Pitonyak, PhD, OTR/L SCFES, is Assistant Professor, Division of Occupational Therapy, Department of Rehabilitation Medicine, University of Washington, Seattle.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Pitonyak
authors.affiliation: Donald Fogelberg, PhD, OTR/L, is Assistant Professor, Division of Occupational Therapy, Department of Rehabilitation Medicine, University of Washington, Seattle.
authors.forename: Donald
authors.initials: D
authors.lastname: Fogelberg
authors.affiliation: Natalie E. Leland, PhD, OTR/L, BCG, FAOTA, is Assistant Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, and Davis School of Gerontology, University of Southern California, Los Angeles.
authors.forename: Natalie E
authors.initials: NE
authors.lastname: Leland
mesh_terms: D006302:Health Services Research; D006801:Humans; D009788:Occupational Therapy / Q000458:organization & administration*; D010043:Outcome and Process Assessment, Health Care; D058991:Patient Protection and Affordable Care Act / Q000331:legislation & jurisprudence*; D018802:Patient-Centered Care / Q000458:organization & administration*