The International College of Person Centered Medicine’s Educational programme is being developed in collaboration with our colleagues from the Indian Medical Association from a series of three symposia held during the ICPCM’s 6 International Congress of Person Centered Medicine in New Delhi, 2018. The purpose of the program is to spread understanding of the principles underlying person centred medicine and to address strategies and procedures for person-centered care in terms of knowledge, skills and attitudes. [1] The program emphasises the centrality of the individual person in medical practice and the need for a person and people centered approach to Health Care [2]. To achieve this goal, medical professionalism within an interprofessional environment which is based on values inherent in medical ethics and human rights form the foundations of Person Centered Care [3]. The skills and attitudes developed for the personcentered management of clinical problems and health promotion need to be renewed in everyday clinical practice for the promotion of wellbeing and the management of Illness [4].
{"title":"ICPCM EDUCATIONAL PROGRAM ON PERSON CENTERED CARE: GENERAL CONCEPTS AND ORGANIZATION","authors":"J. Appleyard, J. Mezzich","doi":"10.5750/ijpcm.v8i2.790","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i2.790","url":null,"abstract":"The International College of Person Centered Medicine’s Educational programme is being developed in collaboration with our colleagues from the Indian Medical Association from a series of three symposia held during the ICPCM’s 6 International Congress of Person Centered Medicine in New Delhi, 2018. The purpose of the program is to spread understanding of the principles underlying person centred medicine and to address strategies and procedures for person-centered care in terms of knowledge, skills and attitudes. [1] The program emphasises the centrality of the individual person in medical practice and the need for a person and people centered approach to Health Care [2]. To achieve this goal, medical professionalism within an interprofessional environment which is based on values inherent in medical ethics and human rights form the foundations of Person Centered Care [3]. The skills and attitudes developed for the personcentered management of clinical problems and health promotion need to be renewed in everyday clinical practice for the promotion of wellbeing and the management of Illness [4].","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116268053","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}
Introduction: Public health is a discipline that focuses on populations and aims to prevent, promote, and protect health and well-being of individuals and communities. Different factors have limited the effectiveness of public health to achieve their goals. New perspectives to strengthen public health have been recommended. Objective: To examine and describe concepts and strategies of people-centered public health.
{"title":"CONCEPTS AND STRATEGIES OF PEOPLE-CENTERED PUBLIC HEALTH","authors":"Fredy Canchihuamán, J. Appleyard, J. Mezzich","doi":"10.5750/ijpcm.v8i2.795","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i2.795","url":null,"abstract":"Introduction: Public health is a discipline that focuses on populations and aims to prevent, promote, and protect health and well-being of individuals and communities. Different factors have limited the effectiveness of public health to achieve their goals. New perspectives to strengthen public health have been recommended. Objective: To examine and describe concepts and strategies of people-centered public health.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117162943","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}
Background: The development of person-centered medical education is inscribed within an international programmatic movement toward a medicine focused on the totality of the person. This movement, with broad historical bases, has been maturing since 2008 through conferences with global health institutions, research projects, and academic publications. A key challenge in the application of person-centered medicine (PCM) to the practice of medicine has been the elucidation of its core principles and the development of operationalized measures that allows for assessment of the degree of person-centeredness in clinical care and medical education.
{"title":"PERSON CENTERED MEDICINE FOUNDATIONS FOR MEDICAL EDUCATION","authors":"J. Mezzich, I. Salloum, L. Kirisci, A. Perales","doi":"10.5750/ijpcm.v8i2.792","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i2.792","url":null,"abstract":"Background: The development of person-centered medical education is inscribed within an international programmatic movement toward a medicine focused on the totality of the person. This movement, with broad historical bases, has been maturing since 2008 through conferences with global health institutions, research projects, and academic publications. A key challenge in the application of person-centered medicine (PCM) to the practice of medicine has been the elucidation of its core principles and the development of operationalized measures that allows for assessment of the degree of person-centeredness in clinical care and medical education.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128811187","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 (PCM) is a concept that has gained increased acceptance, being a broader term than patient-centered medicine. With PCM the whole of a person is taken into consideration, whether healthy or in disease as well as his or her family. The person of the health professional is also incorporated in this concept. In this article, ethical background to person-centeredness in universal declarations and some international central policies are addressed. Primarily, the UN Universal Declaration on Human Rights (UDHR) will be discussed as well as official policy documents of the World Medical Association (WMA). Lastly, the content of a WMA Declaration on Medical Professionalism are discussed.
{"title":"MEDICAL PROFESSIONALISM AND ETHICAL AND HUMAN RIGHTS FOUNDATIONS OF PERSON-CENTERED MEDICINE","authors":"J. Snaedal","doi":"10.5750/ijpcm.v8i2.793","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i2.793","url":null,"abstract":"Person-centered medicine (PCM) is a concept that has gained increased acceptance, being a broader term than patient-centered medicine. With PCM the whole of a person is taken into consideration, whether healthy or in disease as well as his or her family. The person of the health professional is also incorporated\u0000in this concept. In this article, ethical background to person-centeredness in universal declarations and some international central policies are addressed. Primarily, the UN Universal Declaration on Human Rights (UDHR) will be discussed as well as official policy documents of the World Medical Association (WMA). Lastly, the content of a WMA Declaration on Medical Professionalism are discussed.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116376694","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}
Background: Empathy is an important ability for interpersonal relationships, of special interest in the relationship between physician and patient. However, despite its importance, there has been very little work done on the study and evaluation of medical empathy in Peru. Objectives: The study was aimed at evaluating level of empathy in medical residents entering Hospital Nacional Guillermo Almenara Irigoyen (HNGAI), a large hospital in Lima, Peru and at evaluating its correlation with some important contextual and developmental variables. Material and Methods: This was an observational cross-sectional study conducted on 107 incoming medical residents from a total of 142. The Jefferson Scale of Physician Empathy (JSPE) was used and sociodemographic, professional and academic variables were collected. An exploratory data analysis was performed with SPSS 20. Results: The mean score of empathy level was 116.07. Although interesting rends were noted, no significant differences were found between level of empathy and specialty choice (“People-oriented”: 116.28 versus “technology-oriented”: 115.65; p = 0.837); gender (men: 114.74 versus women: 117.43; p = 0.341); and desire to study the selected specialty (desire: 116.37 versus no desire: 111.17; p = 0.333). Significant correlations were found between empathy level and “having a professional mentor for treating patients” (p = 0.024) and “affiliation to a religion” (p = 0.025). There was no significant correlation between level of empathy and age of the resident (r = 0.089; p = 0.373). Conclusions: Residents who identified themselves as affiliated to a religion as well as those who had a professional mentor for treating patients obtained higher scores of empathy level. While the study reflected positively on the establishment of a research program on empathy, further studies, including longitudinal ones are warranted.
{"title":"Correlates of Empathy Level in Incoming Medical Residents in a Large Peruvian Hospital","authors":"J. Huarcaya-Victoria, Jorge de la Cruz-Oré","doi":"10.5750/IJPCM.V7I2.604","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I2.604","url":null,"abstract":"Background: Empathy is an important ability for interpersonal relationships, of special interest in the relationship between physician and patient. However, despite its importance, there has been very little work done on the study and evaluation of medical empathy in Peru. Objectives: The study was aimed at evaluating level of empathy in medical residents entering Hospital Nacional Guillermo Almenara Irigoyen (HNGAI), a large hospital in Lima, Peru and at evaluating its correlation with some important contextual and developmental variables. Material and Methods: This was an observational cross-sectional study conducted on 107 incoming medical residents from a total of 142. The Jefferson Scale of Physician Empathy (JSPE) was used and sociodemographic, professional and academic variables were collected. An exploratory data analysis was performed with SPSS 20. Results: The mean score of empathy level was 116.07. Although interesting rends were noted, no significant differences were found between level of empathy and specialty choice (“People-oriented”: 116.28 versus “technology-oriented”: 115.65; p = 0.837); gender (men: 114.74 versus women: 117.43; p = 0.341); and desire to study the selected specialty (desire: 116.37 versus no desire: 111.17; p = 0.333). Significant correlations were found between empathy level and “having a professional mentor for treating patients” (p = 0.024) and “affiliation to a religion” (p = 0.025). There was no significant correlation between level of empathy and age of the resident (r = 0.089; p = 0.373). Conclusions: Residents who identified themselves as affiliated to a religion as well as those who had a professional mentor for treating patients obtained higher scores of empathy level. While the study reflected positively on the establishment of a research program on empathy, further studies, including longitudinal ones are warranted.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115311524","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}
Summary Report of the 4th International Congress of Person Centered Medicine, Person Centered Medical Education and the Goals of Health Care, Madrid, 7-9 November 2016
{"title":"Summary Report of the 4th International Congress of Person Centered Medicine, Person Centered Medical Education and the Goals of Health Care, Madrid, 7-9 November 2016","authors":"J. Perez-Miranda","doi":"10.5750/IJPCM.V7I2.641","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I2.641","url":null,"abstract":"Summary Report of the 4th International Congress of Person Centered Medicine, Person Centered Medical Education and the Goals of Health Care, Madrid, 7-9 November 2016","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126209125","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}
J. Appleyard, M. Botbol, F. Caballero, T. Ghebrehiwet, J. Mezzich, J. Perez-Miranda, R. Ruiz-Moral, I. Salloum, J. Snaedal, W. Leberghe
Medicine is at the heart of healthcare. Healthcare systems have contributed to increasing the life expectancy and the wellbeing of millions of people worldwide during the 20 th century [1] and they represent an asset of utmost importance in achieving fairness in accessing health-related prevention, promotion and recovery from illness [2]. Thus one of the driving purposes of medical education must be to enhance the performance of health systems for meeting the needs of patients and populations in an equitable and efficient way. A crucial factor in this endeavor will be the successful adaptation of professional education for local and national leadership in workforce teams that are capable of extending reach to all people. The purpose of this paper is to explore a deeper understanding that a person centered approach is essential as to how this can be achieved. Health is about people. The goal of physicians and all health professionals, irrespective of nationality and specialty is to share a common global vision for the future. [3] In this, all health professionals in all countries should be educated to gather knowledge, and to engage in critical reasoning and practice to high ethical standards so that they are competent to participate in person-centered and people-centered health systems as members of locally responsive and globally connected teams. The ultimate vision must be to assure universal coverage of high-quality comprehensive services that are essential to advancing opportunity for health equity within and between countries [4]. The aspiration for better health commonly shared will resonate with aspiring young professionals who seek value and meaning in their work.
{"title":"Bases of Person Centered Medical Education to Enhance Health Systems Worldwide","authors":"J. Appleyard, M. Botbol, F. Caballero, T. Ghebrehiwet, J. Mezzich, J. Perez-Miranda, R. Ruiz-Moral, I. Salloum, J. Snaedal, W. Leberghe","doi":"10.5750/IJPCM.V7I2.637","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I2.637","url":null,"abstract":"Medicine is at the heart of healthcare. Healthcare systems have contributed to increasing the life expectancy and the wellbeing of millions of people worldwide during the 20 th century [1] and they represent an asset of utmost importance in achieving fairness in accessing health-related prevention, promotion and recovery from illness [2]. Thus one of the driving purposes of medical education must be to enhance the performance of health systems for meeting the needs of patients and populations in an equitable and efficient way. A crucial factor in this endeavor will be the successful adaptation of professional education for local and national leadership in workforce teams that are capable of extending reach to all people. The purpose of this paper is to explore a deeper understanding that a person centered approach is essential as to how this can be achieved. Health is about people. The goal of physicians and all health professionals, irrespective of nationality and specialty is to share a common global vision for the future. [3] In this, all health professionals in all countries should be educated to gather knowledge, and to engage in critical reasoning and practice to high ethical standards so that they are competent to participate in person-centered and people-centered health systems as members of locally responsive and globally connected teams. The ultimate vision must be to assure universal coverage of high-quality comprehensive services that are essential to advancing opportunity for health equity within and between countries [4]. The aspiration for better health commonly shared will resonate with aspiring young professionals who seek value and meaning in their work.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128279544","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}
V. A. Grøndahl, Liv Berit Fagerli, Heidi Karlsen, Ellen Rosseland Hansen, H. Johansson, Anne Gerd Mathisen, A. Helgesen
Background: The quality of care offered to older people is still poor. Nursing home administrators often claim that they provide person-centered care, but research indicates that institutional goals take precedence. Aim: The aim was to explore the impact of person-centered care on residents’ perceptions of care quality. Methods: An intervention study was conducted in one nursing home (41 residents). Person-centered care was operationalized into the interventions: greeting the resident on each shift, one-to-one contact (resident – carer) for 30 minutes twice a week, informing the residents continuously about changes in medication, and informing the residents about their legal rights at admission and three months after admission. The interventions were systematically conducted for 12 months. Face-to-face interviews using the Quality from Patient’s Perspective (QPP) questionnaire were conducted both prior to interventions and immediately after the 12-month period. Descriptive and comparative statistics were used to test for differences between care quality perceptions before and after intervention (p ≤ .05). Results: The residents rated all four quality dimensions (caregivers’ medical-technical competence and identity-oriented approach, care organization’s socio-cultural atmosphere, and physical-technical conditions) more highly after the 12-month period, and the socio-cultural atmosphere was rated significantly more highly. At item level, 44 items received higher scores, and, among them, significantly higher scores were given to 6 items. One item received a significantly lower score. Conclusions: Residents’ perceptions of care quality increase when person-centered care is operationalized and takes precedence over the ward’s routines or is part of the ward’s routines. The results indicate that it is possible to design a care system where the residents are at the centre of the health care offered.
{"title":"The impact of person-centered care on residents' perceptions of care quality in nursing homes: an intervention study","authors":"V. A. Grøndahl, Liv Berit Fagerli, Heidi Karlsen, Ellen Rosseland Hansen, H. Johansson, Anne Gerd Mathisen, A. Helgesen","doi":"10.5750/IJPCM.V7I2.628","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I2.628","url":null,"abstract":"Background: The quality of care offered to older people is still poor. Nursing home administrators often claim that they provide person-centered care, but research indicates that institutional goals take precedence. Aim: The aim was to explore the impact of person-centered care on residents’ perceptions of care quality. Methods: An intervention study was conducted in one nursing home (41 residents). Person-centered care was operationalized into the interventions: greeting the resident on each shift, one-to-one contact (resident – carer) for 30 minutes twice a week, informing the residents continuously about changes in medication, and informing the residents about their legal rights at admission and three months after admission. The interventions were systematically conducted for 12 months. Face-to-face interviews using the Quality from Patient’s Perspective (QPP) questionnaire were conducted both prior to interventions and immediately after the 12-month period. Descriptive and comparative statistics were used to test for differences between care quality perceptions before and after intervention (p ≤ .05). Results: The residents rated all four quality dimensions (caregivers’ medical-technical competence and identity-oriented approach, care organization’s socio-cultural atmosphere, and physical-technical conditions) more highly after the 12-month period, and the socio-cultural atmosphere was rated significantly more highly. At item level, 44 items received higher scores, and, among them, significantly higher scores were given to 6 items. One item received a significantly lower score. Conclusions: Residents’ perceptions of care quality increase when person-centered care is operationalized and takes precedence over the ward’s routines or is part of the ward’s routines. The results indicate that it is possible to design a care system where the residents are at the centre of the health care offered.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126437029","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 LATIN AMERICAN CONFERENCE","authors":"C. Woodhead","doi":"10.5750/IJPCM.V7I1.625","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I1.625","url":null,"abstract":"","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123539964","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}
Objective: Decision Aids (DAs) help patients participate in medical decisions. DAs can be in paper or digital format, but little is known about the readiness of people with psychosis to use digital technologies for decision-making in psychiatry. We evaluated attitudes and readiness for digital DAs among four stakeholder groups: people with psychosis, clinicians, caregivers, and administrators. Methods: Semi-structured interviews included 19 respondents: six people with a history of psychosis (clients), six clinicians, five caregivers, and two administrators. We recorded, transcribed, and coded interviews for themes using a qualitative inductive analytic process. Results: Our analysis revealed three key themes addressing readiness for involvement in an interactive digital decision-making: (1) preferences for paper DAs; (2) disadvantages of digital DAs (lack of computer skills, lack of access to digital devices, compounded by clients’ age and socioeconomic status); (3) advantages of digital DAs (accessibility to illiterate people or those with disabilities, decrease in cognitive burden). Conclusions: Our study suggests that the introduction of digital DAs into psychiatric medication consultations could be potentially well received. Appropriate training and access to digital devices may facilitate the adoption of digital DAs in mental health care.
{"title":"Comparing Digital vs Paper Decision Aids about the Use of Antipsychotic Medication: Client, Clinician, Caregiver and Administrator Perspectives","authors":"Y. Zisman-Ilani, K. Gorbenko, D. Shern, G. Elwyn","doi":"10.5750/IJPCM.V7I1.618","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I1.618","url":null,"abstract":"Objective: Decision Aids (DAs) help patients participate in medical decisions. DAs can be in paper or digital format, but little is known about the readiness of people with psychosis to use digital technologies for decision-making in psychiatry. We evaluated attitudes and readiness for digital DAs among four stakeholder groups: people with psychosis, clinicians, caregivers, and administrators. Methods: Semi-structured interviews included 19 respondents: six people with a history of psychosis (clients), six clinicians, five caregivers, and two administrators. We recorded, transcribed, and coded interviews for themes using a qualitative inductive analytic process. Results: Our analysis revealed three key themes addressing readiness for involvement in an interactive digital decision-making: (1) preferences for paper DAs; (2) disadvantages of digital DAs (lack of computer skills, lack of access to digital devices, compounded by clients’ age and socioeconomic status); (3) advantages of digital DAs (accessibility to illiterate people or those with disabilities, decrease in cognitive burden). Conclusions: Our study suggests that the introduction of digital DAs into psychiatric medication consultations could be potentially well received. Appropriate training and access to digital devices may facilitate the adoption of digital DAs in mental health care.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123563637","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}
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