an Integrative and Collaborative HealthCare model

Health care that establishes a partnership among practitioners, patients, and their families (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they need to make decisions and participate in their own care.

 

• Respect for patient-centered values, preferences, and expressed needs, including an awareness of quality-of-life issues, involvement in decision-making, dignity, and attention to patient needs and autonomy.

 

• Coordination and integration of care across clinical, ancillary, and support services and in the context of receiving “frontline” care.

 

• Information, communication, and education on clinical status, progress, prognosis, and processes of care in order to facilitate autonomy, self-care, and health promotion.

 

• Physical comfort, including pain management, help with activities of daily living, and clean and comfortable surroundings.

 

• Emotional support and alleviation of fear and anxiety about such issues as clinical status, prognosis, and the impact of illness on patients, their families and their finances.

 

• Involvement of family and friends in decision-making and awareness and accommodation of their needs as caregivers.

 

• Transition and continuity as regards information that will help patients care for themselves away from a clinical setting, and coordination, planning, and support to ease transitions.

 

• Access to care, with attention to time spent waiting for admission or time between admission and placement in a room in the inpatient setting, and waiting time for an appointment or visit in the outpatient setting.