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. 2016 Jun 1;19(4):501–515. doi: 10.1007/s11019-016-9712-7

Table 1.

Overview of three discourses of patient-centeredness on the basis of five themes

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