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Think of an experience you, a family member, or a friend has had with healthcare. Gauge...

Think of an experience you, a family member, or a friend has had with healthcare. Gauge the experience against the Institute of Medicine (IOM)'s six aims, and identify any opportunities for improvement.

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Ans) The Institute of Medicine (IOM) identified patient-centeredness as crucial to quality health care.

- The IOM endorsed six patient-centeredness dimensions that stipulated that care must be: respectful to patients’ values, preferences, and expressed needs; coordinated and integrated; provide information, communication, and education; ensure physical comfort; provide emotional support; and involve family and friends.

- Patient-reported measures examine the patient’s perspective and are essential to the accurate assessment of patient-centered care. 1) use the six IOM-endorsed patient-centeredness dimensions as a framework to outline why patient-reported measures are crucial to the reliable measurement of patient-centered care;

2) to identify existing patient-reported measures that assess each patient-centered care dimension.

- Patient-reported measures are arguably the best way to measure patient-centeredness. For instance, patients are best positioned to determine whether care aligns with patient values, preferences, and needs and the Measure of Patient Preferences is an example of a patient-reported measure that does so.

- Furthermore, only the patient knows whether they received the level of information desired, and if information was understood and can be recalled.

- In relation to physical comfort, only patients can report the severity of physical symptoms and whether medications provide adequate relief.

- Patient-reported measures that investigate physical comfort include the Pain Care Quality Survey and the Brief Pain Inventory. Using patient-reported measures to regularly measure patient-centered care is critical to identifying areas of health care where improvements are needed.

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