caa a22 4500 606170898 CHVBK 20210128100719.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s10728-013-0257-0 doi (NATIONALLICENCE)springer-10.1007/s10728-013-0257-0 Tanenbaum Sandra Division of Health Services Management and Policy, College of Public Health, The Ohio State University, 200B Cunz Hall, 1841 Neil Ave., 43201, Columbus, OH, USA aut What is Patient-Centered Care? A Typology of Models and Missions [Elektronische Daten] [Sandra Tanenbaum] Recently adopted health care practices and policies describe themselves as "patient-centered care.” The meaning of the term, however, remains contested and obscure. This paper offers a typology of "patient-centered care” models that aims to contribute to greater clarity about, continuing discussion of, and further advances in patient-centered care. The paper imposes an original analytic framework on extensive material covering mostly US health care and health policy topics over several decades. It finds that four models of patient-centered care emphasize: patients versus their parts; patients versus providers; patients/providers/states versus "the system”; and patients and providers as persons. Each type is distinguishable along three dimensions: epistemological orientations, practical accommodations, and policy tools. Based on this analysis, the paper recommends that four questions be asked of any proposal that claims to provide patient-centered care: Is this care a means to an end or an end in itself? Are patients here subjects or objects? Are patients here individuals or aggregates? How do we know what patients want and need? The typology reveals that models are neither entirely compatible nor entirely incompatible and may be usefully combined in certain practices and policies. In other instances, internal contradictions may jeopardize the realization of coherent patient-centered care. Springer Science+Business Media New York, 2013 Health policy nationallicence Medical practice nationallicence Patient-centered care nationallicence Philosophy of health care nationallicence United States nationallicence Health Care Analysis Springer US; http://www.springer-ny.com 23/3(2015-09-01), 272-287 1065-3058 23:3<272 2015 23 10728 https://doi.org/10.1007/s10728-013-0257-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10728-013-0257-0 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Tanenbaum Sandra Division of Health Services Management and Policy, College of Public Health, The Ohio State University, 200B Cunz Hall, 1841 Neil Ave., 43201, Columbus, OH, USA aut NATIONALLICENCE 773 0- Health Care Analysis Springer US; http://www.springer-ny.com 23/3(2015-09-01), 272-287 1065-3058 23:3<272 2015 23 10728