Why the nation needs a policy push on patient-centered health care
Abstract
The phrase "patient-centered care" is in vogue, but its meaning is poorly understood. This article describes patient-centered care, why it matters, and how policy makers can advance it in practice. Ultimately, patient-centered care is determined by the quality of interactions between patients and clinicians. The evidence shows that patient-centered care improves disease outcomes and quality of life, and that it is critical to addressing racial, ethnic, and socioeconomic disparities in health care and health outcomes. Policy makers need to look beyond such areas as health information technology to shape a coordinated and focused national policy in support of patient-centered care. This policy should help health professionals acquire and maintain skills related to patient-centered care, and it should encourage organizations to cultivate a culture of patient-centeredness.
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Building rapport is an important aspect of clinical communication with a number of benefits for patients.
“Nonetheless, building rapport is an important aspect of clinical communication with a number of benefits for patients (5,(7)(8)(9), and low SES patients may be placed at a disadvantage if less time is spent building rapport.”
From High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics (2018) · cites this paper as [5]
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- Authors
- Epstein, R. M., Fiscella, K., Lesser, C. S., & Stange, K. C.
- Affiliations
- University of Rochester Medicine (US)
- American Board of Internal Medicine (US)
- Case Western Reserve University (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2010-08
- Volume
- 29
- Issue
- 8
- Pages
- 1489-1495
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2098874182
- Cited by
- 866
- References
- 4
- Citations by year
- 2026: 27 · 2025: 31 · 2024: 45 · 2023: 41 · 2022: 49 · 2021: 73 · 2020: 68 · 2019: 93 · 2018: 73 · 2017: 69 · 2016: 70 · 2015: 60 · 2014: 46 · 2013: 51 · 2012: 41
- FWCI
- 68.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- patient-centered care, health policy, patient-clinician interaction, health disparities, racial and ethnic disparities, socioeconomic disparities, health information technology, health professions education, organizational culture, quality of life
- MeSH terms
- Health Policy, Humans, Patient Care Team, Physician-Patient Relations, Quality Assurance, Health Care, United States, Patient-Centered Care, Healthcare Disparities
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