Wendy K. Nickel, MPH; Steven E. Weinberger, MD; Phyllis A. Guze, MD, MS; for the Patient Partnership in Healthcare Committee of the American College of Physicians *
Financial Support: Financial support for the development of this paper comes exclusively from the ACP operating budget.
Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-0018.
Corresponding Author: Steven E. Weinberger, MD, Perelman School of Medicine at the University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA 19104; e-mail, firstname.lastname@example.org.
Current Author Addresses: Ms. Nickel: Colorectal Cancer Alliance, 1025 Vermont Avenue NW, Suite 1066, Washington, DC 20005.
Dr. Weinberger: Perelman School of Medicine at the University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA 19104.
Dr. Guze: University of California, Los Angeles, 679 Thayer Avenue, Los Angeles, CA 90024.
Author Contributions: Conception and design: W.K. Nickel, S.E. Weinberger.
Analysis and interpretation of the data: W.K. Nickel, S.E. Weinberger.
Drafting of the article: W.K. Nickel.
Critical revision of the article for important intellectual content: W.K. Nickel, S.E. Weinberger, P. Guze.
Final approval of the article: W.K. Nickel, S.E. Weinberger, P. Guze.
Administrative, technical, or logistic support: W.K. Nickel, P. Guze.
In this position paper, the American College of Physicians (ACP) examines the rationale for patient and family partnership in care and reviews outcomes associated with this concept, including greater adherence to care plans, improved satisfaction, and lower costs. The paper also explores and acknowledges challenges associated with implementing patient- and family-centered models of care. On the basis of a comprehensive literature review and a multistakeholder vetting process, the ACP's Patient Partnership in Healthcare Committee developed a set of principles that form the foundation for authentic patient and family partnership in care. The principles position patients in their rightful place at the center of care while acknowledging the importance of partnership between the care team and patient in improving health care and reducing harm. The principles state that patients and families should be treated with dignity and respect, be active partners in all aspects of their care, contribute to the development and improvement of health care systems, and be partners in the education of health care professionals. This paper also recommends ways to implement these principles in daily practice.
Table. Sample Strategies for Implementing Principles of Patient and Family Partnership
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Nickel WK, Weinberger SE, Guze PA, for the Patient Partnership in Healthcare Committee of the American College of Physicians. Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. Ann Intern Med. 2018;169:796–799. [Epub ahead of print 27 November 2018]. doi: 10.7326/M18-0018
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Published: Ann Intern Med. 2018;169(11):796-799.
Published at www.annals.org on 27 November 2018
Healthcare Delivery and Policy, Hospital Medicine.
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