Table 1.
Discourse 1: caring for patients | Discourse 2: empowering patients | Discourse 3: being responsive | |
---|---|---|---|
Why be patient-centered? | - Alleviate vulnerabilities - Lessen suffering - Improve quality of diagnosis |
- Facilitate self-management - Respect patient autonomy |
- Depends on the person and/or context - Center processes of communication |
Patient identity: key words | - In need of care - Vulnerable - Experiencing individual |
- Right to control - Capable of decision-making - Autonomous |
- Multiple identities - Varying preferences |
What is the primary role of the healthcare professional? | - To care | - To facilitate, advise, and coach patients in decision-making - To activate the will and ability to make decisions |
- To be responsive to (and thus accept) the patient’s needs, values and preferences with respect to the content of encounters, the style of communication, and involvement in decision-making |
Who is primarily responsible for decision-making? | - The healthcare professional | - The patient, who can decide to share responsibilities | - The healthcare professional and/or patient |
What is the role of health information? | - For a good diagnosis - For compliance |
- For a good diagnosis - For choice |
- Tailored information - For compliance, for choice or withhold information |