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Commentary |

A Systems Approach to Patient-Centered Care

Steven C. Bergeson, MD; John D. Dean, MBChB, MD, FRCP
JAMA. 2006;296(23):2848-2851. doi:10.1001/jama.296.23.2848.
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Providing care centered on patients' needs and expectations is a key attribute of quality care.1 Unfortunately, despite the intent and efforts of many to improve patient centeredness, the quality of patient-clinician relationships, patient access, and continuity of care appear to be worsening in the United States2 and lag behind other Organization for Economic Co-operation and Development (OECD) countries.3 Clinicians do not consistently address patients' concerns,4 do not always assess patients' beliefs and understanding of their illness, and often do not share management options with patients.5 Patients frequently fail to recall basic elements of their care plan.6 All this is occurring as care becomes increasingly complex and as more costs of care are borne directly by patients.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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