The need for person-centered integrated care is particularly compelling for people who experience multimorbidity. The concept of multimorbidity has attracted increasing interest in the past decade with the recognition of multiple burdens of disease and their escalating costs for the individual and the community. It is evident in clinical practice that multimorbidity has become the norm rather than the exception, occurring in an increasingly younger population particularly in areas of socioeconomic deprivation and in low income countries. It is now well established that the mentally ill have a markedly reduced life expectancy due to predominantly cardiovascular and metabolic diseases. The combination of a chronic medical condition and a mental health problem presents specific complex challenges for the single disease model of care which continues to prevail as the current delivery system in which health care professionals are trained and operate. The growing evidence and experience for adopting an integrated collaborative person-centered approach demonstrates the need for a more effective model of care which is individualised, and focused on patient engagement to prevent disease and manage multiple conditions systematically. Given the limited resources in our current health care systems, this approach requires innovation and redesign of the system to provide comprehensive person-centered care encompassing early detection, co-ordinated multidisciplinary working across specialities as well as between primary and secondary care with easy access to basic healthy lifestyle care programs .
{"title":"Multimorbidity in Mentally Ill People: The Need for a Person-centered Integrated Approach","authors":"H. Millar, M. Abou-Saleh","doi":"10.5750/IJPCM.V5I1.507","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I1.507","url":null,"abstract":"The need for person-centered integrated care is particularly compelling for people who experience multimorbidity. The concept of multimorbidity has attracted increasing interest in the past decade with the recognition of multiple burdens of disease and their escalating costs for the individual and the community. It is evident in clinical practice that multimorbidity has become the norm rather than the exception, occurring in an increasingly younger population particularly in areas of socioeconomic deprivation and in low income countries. It is now well established that the mentally ill have a markedly reduced life expectancy due to predominantly cardiovascular and metabolic diseases. The combination of a chronic medical condition and a mental health problem presents specific complex challenges for the single disease model of care which continues to prevail as the current delivery system in which health care professionals are trained and operate. The growing evidence and experience for adopting an integrated collaborative person-centered approach demonstrates the need for a more effective model of care which is individualised, and focused on patient engagement to prevent disease and manage multiple conditions systematically. Given the limited resources in our current health care systems, this approach requires innovation and redesign of the system to provide comprehensive person-centered care encompassing early detection, co-ordinated multidisciplinary working across specialities as well as between primary and secondary care with easy access to basic healthy lifestyle care programs .","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"181 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125191641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Healthcare services are evolving towards the consideration of comprehensive models of the human being. This is consistent with the definition of health as the state of complete “physical, mental, and social well-being and not merely the absence of disease or infirmity”, as affirmed in the Constitution of the World Health Organization. Also pertinent in the educational programs of health professionals are the concepts formulated by De Sousa in his work, “El Arte de Cambiar las Personas que Cambian las Cosas” (The Art of Changing People who Change Things). His recommendations promote a comprehensive training of the healthcare team, with a vision of training the best talented individuals to serve as health-care professionals. Imbued with these viewpoints, the Universidad Tecnica Particular de Loja is developing a new School of Nursing with a humanistic vision. The proposal is designed to reflect key tenets of person-centered care, including interaction with the community, collaboration between the nurse and the doctor and with others members of the healthcare team. The focus is on the patient, including self-care and the participation of family members in order to achieve the desired outcomes. The proposed educational methodology promotes the cultivation of self-esteem as a cross-cutting issue. This contributes to a paradigmatic shift towards total personal development and humane and social professional practice.
医疗保健服务正朝着考虑人类的综合模型的方向发展。这符合《世界卫生组织组织法》对健康的定义，即"身体、精神和社会健康，而不仅仅是没有疾病或虚弱"的完全状态。同样与卫生专业人员的教育方案相关的是De Sousa在他的作品《改变改变事物的人的艺术》(El Arte De Cambiar las Personas que Cambian las Cosas)中提出的概念。他的建议促进对医疗保健团队进行全面培训，以期培养最优秀的人才担任医疗保健专业人员。在这些观点的影响下，洛哈特别技术大学正在开发一所具有人文视野的新护理学院。该提案旨在反映以人为本的护理的关键原则，包括与社区的互动，护士和医生之间以及与医疗团队其他成员之间的合作。重点是病人，包括自我照顾和家庭成员的参与，以实现预期的结果。拟议的教育方法促进自尊的培养，作为一个跨领域的问题。这有助于向全面的个人发展以及人道和社会专业实践的范式转变。
{"title":"Holistic Professional Education of the Healthcare Team: Person-centered Approach in a New Ecuadorian Nursing School","authors":"Olga Costa","doi":"10.5750/IJPCM.V5I1.508","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I1.508","url":null,"abstract":"Healthcare services are evolving towards the consideration of comprehensive models of the human being. This is consistent with the definition of health as the state of complete “physical, mental, and social well-being and not merely the absence of disease or infirmity”, as affirmed in the Constitution of the World Health Organization. Also pertinent in the educational programs of health professionals are the concepts formulated by De Sousa in his work, “El Arte de Cambiar las Personas que Cambian las Cosas” (The Art of Changing People who Change Things). His recommendations promote a comprehensive training of the healthcare team, with a vision of training the best talented individuals to serve as health-care professionals. Imbued with these viewpoints, the Universidad Tecnica Particular de Loja is developing a new School of Nursing with a humanistic vision. The proposal is designed to reflect key tenets of person-centered care, including interaction with the community, collaboration between the nurse and the doctor and with others members of the healthcare team. The focus is on the patient, including self-care and the participation of family members in order to achieve the desired outcomes. The proposed educational methodology promotes the cultivation of self-esteem as a cross-cutting issue. This contributes to a paradigmatic shift towards total personal development and humane and social professional practice.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133086117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ninth Geneva Conference on Person Centered Medicine: Announcement","authors":"J. Mezzich","doi":"10.5750/IJPCM.V5I1.513","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I1.513","url":null,"abstract":"","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127825869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Modern medicine, with all its scientific and technological advancements overshadowing the humanistic components, has time and again found to be falling short of the expectations of clients and service providers alike. Person Centered Integrated Care has been rapidly gaining momentum as the reply to the current shortcomings of health care delivery and has consistently been ranked as desirable. The need of the hour is to take coordinated and consolidated steps in this direction. This requires research, changes in the education and training system of the physicians and integration of service delivery. The present article discusses these avenues and outlines international efforts in this direction, with a special focus on mental health care.
{"title":"International Mental Health Perspectives on Person Centered Integrated Care","authors":"R. Kallivayalil, Kabir Garg, A. Tripathi","doi":"10.5750/IJPCM.V5I1.506","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I1.506","url":null,"abstract":"Modern medicine, with all its scientific and technological advancements overshadowing the humanistic components, has time and again found to be falling short of the expectations of clients and service providers alike. Person Centered Integrated Care has been rapidly gaining momentum as the reply to the current shortcomings of health care delivery and has consistently been ranked as desirable. The need of the hour is to take coordinated and consolidated steps in this direction. This requires research, changes in the education and training system of the physicians and integration of service delivery. The present article discusses these avenues and outlines international efforts in this direction, with a special focus on mental health care.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127869997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Third International Congress of Person Centered Medicine, London: Announcement and Program Outline","authors":"J. Mezzich","doi":"10.5750/IJPCM.V5I1.512","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I1.512","url":null,"abstract":"","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"9 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134529460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Person Centered Medicine is fundamentally aimed at promoting the health and well-being of the totality of the person. Here the person is the key concept as the center and goal of health care. An important implication is that the focus of contemporary medicine should be shifted from disease to patient to person. In the clinical arena, Iona Heath has spoken critically of “promotion of disease and distortion of medicine” and concerning public health, WHO’s definition of health as “a state of complete physical, emotional and social wellbeing and not merely the absence of disease” is compelling
{"title":"Mental Health in Person Centered Medicine","authors":"J. Mezzich, M. Botbol, I. Salloum","doi":"10.5750/IJPCM.V5I1.510","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I1.510","url":null,"abstract":"Person Centered Medicine is fundamentally aimed at promoting the health and well-being of the totality of the person. Here the person is the key concept as the center and goal of health care. An important implication is that the focus of contemporary medicine should be shifted from disease to patient to person. In the clinical arena, Iona Heath has spoken critically of “promotion of disease and distortion of medicine” and concerning public health, WHO’s definition of health as “a state of complete physical, emotional and social wellbeing and not merely the absence of disease” is compelling","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131104963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Second International Congress of Person-Centered Medicine November 7-9, 2014 - Buenos Aires","authors":"J. Mezzich","doi":"10.5750/IJPCM.V4I4.498","DOIUrl":"https://doi.org/10.5750/IJPCM.V4I4.498","url":null,"abstract":"","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125747115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Third International Congress of Person Centered Medicine, London","authors":"J. Mezzich","doi":"10.5750/IJPCM.V4I4.501","DOIUrl":"https://doi.org/10.5750/IJPCM.V4I4.501","url":null,"abstract":"","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121269699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thailand’s health system, dating back to the 1880s, was traditionally anchored in hospital medicine. Thus, when the family medicine concept was introduced in the 1980s, it was immediately perceived as relating to a hospital-based doctor without a specific specialization. Workforce is a crucial issue for the reform. Overall shortage of human resources is not the only issue . In each facility there should be staff fit to function. The question of human resources can indeed be tackled only when there is an agreement on what is expected from first line services that are close to the population. When the push for universal health coverage gained political momentum starting in Ayutthaya province, in the 1990s, primary care reform became necessary and urgent. It was within this context that person-centered care, family medicine, and community-based care finally made headway in Thailand’s hospital-centered medical culture. A strategy which proved instrumental in facilitating the reforms was that of ‘demonstration’ and ‘diffusion’. The idea behind the ‘demonstration health centers’ was to develop and display the family practice concept in a few selected areas in order to stimulate interest and demand for primary health care towards person- and people-centered care [1,2]. When the universal coverage policy was adopted some years later, family practice as a cornerstone for health sector development had already proven its worth and was therefore taken up as a tested model of care.
{"title":"Research and Policy Synergism for Advancing People-centered Care in Thailand","authors":"Y. Pongsupap","doi":"10.5750/ijpcm.v4i4.493","DOIUrl":"https://doi.org/10.5750/ijpcm.v4i4.493","url":null,"abstract":"Thailand’s health system, dating back to the 1880s, was traditionally anchored in hospital medicine. Thus, when the family medicine concept was introduced in the 1980s, it was immediately perceived as relating to a hospital-based doctor without a specific specialization. Workforce is a crucial issue for the reform. Overall shortage of human resources is not the only issue . In each facility there should be staff fit to function. The question of human resources can indeed be tackled only when there is an agreement on what is expected from first line services that are close to the population. When the push for universal health coverage gained political momentum starting in Ayutthaya province, in the 1990s, primary care reform became necessary and urgent. It was within this context that person-centered care, family medicine, and community-based care finally made headway in Thailand’s hospital-centered medical culture. A strategy which proved instrumental in facilitating the reforms was that of ‘demonstration’ and ‘diffusion’. The idea behind the ‘demonstration health centers’ was to develop and display the family practice concept in a few selected areas in order to stimulate interest and demand for primary health care towards person- and people-centered care [1,2]. When the universal coverage policy was adopted some years later, family practice as a cornerstone for health sector development had already proven its worth and was therefore taken up as a tested model of care.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131286682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：