Health Care Systems Support to Enhance Patient-Centered Care

Lessons from a Primary Care-Based Chronic Pain Management Initiative

Charles R. Elder, Lynn L. Debar, Cheryl Ritenbaugh, Maureen H. Rumptz, Charlotte Patterson, Allison Bonifay, Penney Cowan, Lindsay Lancaster, Richard (Rick) Deyo

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: Supporting day-to-day self-care activities has emerged as a best practice when caring for patients with chronic pain, yet providing this support may introduce challenges for both patients and primary care physicians. It is essential to develop tools that help patients identify the issues and outcomes that are most important to them and to communicate this information to primary care physicians at the point of care.

OBJECTIVE: We describe our process to engage patients, primary care physicians, and other stakeholders in the context of a pilot randomized controlled trial of a patient-centered assessment process implemented in an everyday practice setting. We identify lessons on how to engage stakeholders and improve patient-centered care for those with chronic conditions within the primary care setting.

METHODS: A qualitative analysis of project minutes, interviews, and focus groups was conducted to evaluate stakeholder experiences. Stakeholders included patients, caregivers, clinicians, medical office support staff, health plan administrators, an information technology consultant, and a patient advocate.

RESULTS: Our stakeholders included many patients with no prior experience with research. This approach enriched the applicability of feedback but necessitated extra time for stakeholder training and meeting preparation. Types of stakeholders varied over the course of the project, and more involvement of medical assistants and Information Technology staff was required than originally anticipated.

CONCLUSION: Meaningful engagement of patient and physician stakeholders must be solicited in a well-coordinated manner with broad health care system supports in place to ensure full execution of patient-centered processes.

Original languageEnglish (US)
JournalThe Permanente journal
Volume21
DOIs
StatePublished - 2017

Fingerprint

Patient-Centered Care
Pain Management
Chronic Pain
Primary Health Care
Delivery of Health Care
Primary Care Physicians
Patient Care
Point-of-Care Systems
Technology
Patient Participation
Process Assessment (Health Care)
Self Care
Consultants
Focus Groups
Administrative Personnel
Practice Guidelines
Caregivers
Randomized Controlled Trials
Interviews
Physicians

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Health Care Systems Support to Enhance Patient-Centered Care : Lessons from a Primary Care-Based Chronic Pain Management Initiative. / Elder, Charles R.; Debar, Lynn L.; Ritenbaugh, Cheryl; Rumptz, Maureen H.; Patterson, Charlotte; Bonifay, Allison; Cowan, Penney; Lancaster, Lindsay; Deyo, Richard (Rick).

In: The Permanente journal, Vol. 21, 2017.

Research output: Contribution to journalArticle

Elder, Charles R. ; Debar, Lynn L. ; Ritenbaugh, Cheryl ; Rumptz, Maureen H. ; Patterson, Charlotte ; Bonifay, Allison ; Cowan, Penney ; Lancaster, Lindsay ; Deyo, Richard (Rick). / Health Care Systems Support to Enhance Patient-Centered Care : Lessons from a Primary Care-Based Chronic Pain Management Initiative. In: The Permanente journal. 2017 ; Vol. 21.
@article{d0e0747f3a114b31bf62529f5be034d8,
title = "Health Care Systems Support to Enhance Patient-Centered Care: Lessons from a Primary Care-Based Chronic Pain Management Initiative",
abstract = "BACKGROUND: Supporting day-to-day self-care activities has emerged as a best practice when caring for patients with chronic pain, yet providing this support may introduce challenges for both patients and primary care physicians. It is essential to develop tools that help patients identify the issues and outcomes that are most important to them and to communicate this information to primary care physicians at the point of care.OBJECTIVE: We describe our process to engage patients, primary care physicians, and other stakeholders in the context of a pilot randomized controlled trial of a patient-centered assessment process implemented in an everyday practice setting. We identify lessons on how to engage stakeholders and improve patient-centered care for those with chronic conditions within the primary care setting.METHODS: A qualitative analysis of project minutes, interviews, and focus groups was conducted to evaluate stakeholder experiences. Stakeholders included patients, caregivers, clinicians, medical office support staff, health plan administrators, an information technology consultant, and a patient advocate.RESULTS: Our stakeholders included many patients with no prior experience with research. This approach enriched the applicability of feedback but necessitated extra time for stakeholder training and meeting preparation. Types of stakeholders varied over the course of the project, and more involvement of medical assistants and Information Technology staff was required than originally anticipated.CONCLUSION: Meaningful engagement of patient and physician stakeholders must be solicited in a well-coordinated manner with broad health care system supports in place to ensure full execution of patient-centered processes.",
author = "Elder, {Charles R.} and Debar, {Lynn L.} and Cheryl Ritenbaugh and Rumptz, {Maureen H.} and Charlotte Patterson and Allison Bonifay and Penney Cowan and Lindsay Lancaster and Deyo, {Richard (Rick)}",
year = "2017",
doi = "10.7812/TPP/16-101",
language = "English (US)",
volume = "21",
journal = "The Permanente journal",
issn = "1552-5767",
publisher = "The Permanente Press",

}

TY - JOUR

T1 - Health Care Systems Support to Enhance Patient-Centered Care

T2 - Lessons from a Primary Care-Based Chronic Pain Management Initiative

AU - Elder, Charles R.

AU - Debar, Lynn L.

AU - Ritenbaugh, Cheryl

AU - Rumptz, Maureen H.

AU - Patterson, Charlotte

AU - Bonifay, Allison

AU - Cowan, Penney

AU - Lancaster, Lindsay

AU - Deyo, Richard (Rick)

PY - 2017

Y1 - 2017

N2 - BACKGROUND: Supporting day-to-day self-care activities has emerged as a best practice when caring for patients with chronic pain, yet providing this support may introduce challenges for both patients and primary care physicians. It is essential to develop tools that help patients identify the issues and outcomes that are most important to them and to communicate this information to primary care physicians at the point of care.OBJECTIVE: We describe our process to engage patients, primary care physicians, and other stakeholders in the context of a pilot randomized controlled trial of a patient-centered assessment process implemented in an everyday practice setting. We identify lessons on how to engage stakeholders and improve patient-centered care for those with chronic conditions within the primary care setting.METHODS: A qualitative analysis of project minutes, interviews, and focus groups was conducted to evaluate stakeholder experiences. Stakeholders included patients, caregivers, clinicians, medical office support staff, health plan administrators, an information technology consultant, and a patient advocate.RESULTS: Our stakeholders included many patients with no prior experience with research. This approach enriched the applicability of feedback but necessitated extra time for stakeholder training and meeting preparation. Types of stakeholders varied over the course of the project, and more involvement of medical assistants and Information Technology staff was required than originally anticipated.CONCLUSION: Meaningful engagement of patient and physician stakeholders must be solicited in a well-coordinated manner with broad health care system supports in place to ensure full execution of patient-centered processes.

AB - BACKGROUND: Supporting day-to-day self-care activities has emerged as a best practice when caring for patients with chronic pain, yet providing this support may introduce challenges for both patients and primary care physicians. It is essential to develop tools that help patients identify the issues and outcomes that are most important to them and to communicate this information to primary care physicians at the point of care.OBJECTIVE: We describe our process to engage patients, primary care physicians, and other stakeholders in the context of a pilot randomized controlled trial of a patient-centered assessment process implemented in an everyday practice setting. We identify lessons on how to engage stakeholders and improve patient-centered care for those with chronic conditions within the primary care setting.METHODS: A qualitative analysis of project minutes, interviews, and focus groups was conducted to evaluate stakeholder experiences. Stakeholders included patients, caregivers, clinicians, medical office support staff, health plan administrators, an information technology consultant, and a patient advocate.RESULTS: Our stakeholders included many patients with no prior experience with research. This approach enriched the applicability of feedback but necessitated extra time for stakeholder training and meeting preparation. Types of stakeholders varied over the course of the project, and more involvement of medical assistants and Information Technology staff was required than originally anticipated.CONCLUSION: Meaningful engagement of patient and physician stakeholders must be solicited in a well-coordinated manner with broad health care system supports in place to ensure full execution of patient-centered processes.

UR - http://www.scopus.com/inward/record.url?scp=85029668114&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85029668114&partnerID=8YFLogxK

U2 - 10.7812/TPP/16-101

DO - 10.7812/TPP/16-101

M3 - Article

VL - 21

JO - The Permanente journal

JF - The Permanente journal

SN - 1552-5767

ER -