Person-centered healthcare: addressing chronic illness and promoting future health

Article Sidebar

PDF
Published: Jun 25, 2012
DOI: https://doi.org/10.5750/ijpcm.v2i2.205
Keywords:
Chronic disease chronic illness complexity theory dimensions of health global morbidity global mortality health promotion long term conditions non-communicable diseases person-centered healthcare person-centered medicine preventive strategies

Main Article Content

Andrew Miles
WHO Centre for Public Health Education and Training, Imperial College, London
Juan E. Mezzich
Mount Sinai Medical School

Abstract

Long term conditions (LTCs) now represent, collectively, one of the greatest challenges to modern medicine and healthcare.  Indeed, the World Health Organisation (WHO) Global Status Report on Non-communicable Diseases is clear that the NCD epidemic continues to exact an enormous toll in terms of human suffering and is inflicting serious damage on human development in both social and economic terms [1]. In 2008, of the 57 million deaths occurring globally, 63% were due to NCDs, principally cardiovascular and chronic respiratory diseases, diabetes and the cancers. It is, however, some 3.5 years since the conclusion of the year of sampling employed by the report and a variety of epidemiological predictions of disease burden indicate that continuing increases in the incidence and prevalence of these illnesses are likely to have occurred since the finalization of the 2008 analysis. Thus, there is every objective indication that this global crisis of health and wellbeing is worsening and not abating, making even more urgent the conclusion of the report that: ‘This state of affairs cannot continue. There is a pressing need to intervene. Unless serious action is taken, the burden of NCDs will reach levels that are beyond the capacity of all stakeholders to manage’

Article Details

Issue
Vol. 2 No. 2 (2012): June
Section
Editorial
Author Biographies

Andrew Miles, WHO Centre for Public Health Education and Training, Imperial College, London

Editor-in-Chief, International Journal of Person Centered Medicine & Journal of Evaluation in Clinical Practice; Director:  International Conference and Publication Series on Person Centered Healthcare; WHO Centre for Public Health Education and Training, Faculty of Medicine, Imperial College London UK & Visiting Professor:  University of Milan Italy & Medical University of Plovdiv and University of Sofia, Bulgaria; Distinguished Academician, National Academy of Sciences and  Arts of Bulgaria. Professor Miles, MSc, MPhil, PhD is a senior public health scientist. He previously held professorships and senior fellowships at King’s College University of London, Queen Mary College University of London, the University of East London, the University of Westminster, the University of Surrey and the University of Wales.He is Editor-in-Chief and Chairman of the International Advisory Board of the Journal of Evaluation in Clinical Practice, a leading and highly ranked international periodical for public health policy and health services research published by Wiley Blackwell Ltd with high impact factor and citation rate and extensive world circulation.Professor Miles is National Director and Editor-in-Chief of the UK Key Advances in Clinical Practice Series, a major collaboration between medical Royal Colleges and UK specialist clinical societies in a multi-disciplinary contribution to the evaluation and development of clinical practice in the UK, resulting in the organisation of some 22 annually recurring national conferences and some 22 annually updated, extensively referenced clinical texts which serve to document current scientific evidence and expert clinical opinion for the investigation and management of common diseases, the results of which are widely disseminated across the medical community of the UK. The Series entered its 13th successful annual cycle in January 2010.He is Director and Editor-in-Chief of the UK Masterclasses in Effective Clinical Practice Series in collaboration with the medical Royal Colleges and specialist clinical societies which examines how ‘general research evidence’ derived from the clinical literature is successfully applied to the care of difficult individual patients as part of the development of UK knowledge-based clinical practice.Professor Miles is an accomplished teacher at both undergraduate and postgraduate levels in public health and social medicine, and experienced in Master’s level course development and validation, and in university committee work and higher degree supervision at Master’s degree and PhD levels.He has published extensively in his field: over 50 edited textbooks in public health sciences and health services research, together with substantial numbers of original articles in leading peer-reviewed international clinical journals. He has contributed extensively to the international evidence-based medicine debate and to the development of thinking on the nature of knowledge for clinical practice. He has provided the intellectual leadership and organisational skills for 89 national clinical conferences and 26 national clinical masterclasses from 1998 to date. He regularly lectures at national and international conferences, and has made a substantial contribution to British medical education and clinical scholarship.

Juan E. Mezzich, Mount Sinai Medical School

Deputy Editor-in-Chief, International Journal of Person Centered Medicine & Professor of Psychiatry, Mount Sinai Medical School, New York University, United States of America and President, International College of Person Centered Medicine & Past President, World Psychiatric Association

References

World Health Organisation. (2010). Global Health Status Report on Non-communicable Diseases. World Health Organisation, Geneva, Switzerland.

Ackland, M., Choi, C. & Puska, P. (2003). Rethinking the terms non-communicable disease and chronic disease. Journal of Epidemiology and Community Health 57, 838 – 839.

Unwin, N., Epping Jordan, J. & Bonita, R. (2004). Rethinking the terms non-communicable disease and chronic disease. (Letter to the Editor in response to Ackland et al [2]). Journal of Epidemiology and Community Health 58, 801.

Ackland, M., Choi, C., & Puska, P. (2004). Rethinking the terms non-communicable disease and chronic disease (Letter to the Editor in response to Unwin et al [3]). Journal of Epidemiology and Community Health 58, 801.

Miles, A. & Mezzich, J. E. (2011). Person-centered medicine: advancing methods, promoting implementation. International Journal of Person Centered Medicine 1 (3) 423 – 428.

Sturmberg, J. P. (2012). Caring for people with chronic disease – is ‘muddling through’ the best way to handle the multiple complexities? Journal of Evaluation in Clinical Practice 18 (6) In Press.

Miles, A. & Mezzich, J. E. (2011). The care of the patient and the soul of the clinic: person-centered medicine as an emergent model of modern clinical practice. International Journal of Person Centered Medicine 1 (2) 207 – 222.

International College of Person-centered Medicine. (2012). The Geneva Declaration on Person-centered Care for Chronic Diseases. International Journal of Person Centered Medicine 2 (2) 153-154.

Mezzich, J. E., Miles, A., Snaedal, J., van Weel, C., Botbol, M., Salloum, I. & Van Lerberghe, W. (2012). The Fourth Geneva Conference on Person-centered Medicine: articulating person-centered medicine and people-centered public health. International Journal of Person Centered Medicine 1 (1) 1 – 5.

Kallivayalil, R.A. & Suresh Kumar, P.N. (2012). Education in person-centered medicine: Indian perspectives. International Journal of Person Centered Medicine 2 (2) 155-158.

Maguina-Vargas, C. & Mendoza, J.G. (2012). Latin American educational perspectives for medicine focusing on the person. International Journal of Person Centered Medicine 2 (2) 159-160.

Dayrit, M.M. (2012). Transformative scale up of health professional education. International Journal of Person Centered Medicine 2 (2) 161-164.

Banzato, C.E.M. & Dantas, C.R. (2012). Reinstating the concept of ‘syndrome’ in psychiatric nosology: a strategic step back for moving the field ahead. International Journal of Person Centered Medicine 2 (2) 165-167.

Salloum, I.M., Abou-Saleh, M.T. & Krasnov, V.N. (2012). Comorbidity, psychiatric diagnosis and the Person-centered Integrative Diagnostic Model. International Journal of Person Centered Medicine 2 (2) 168-172.

Adams, N. (2012). Finding common ground: the role of integrative diagnosis and treatment planning as a pathway to person-centered care. International Journal of Person Centered Medicine 2 (2) 173-178.

Cloninger, C.R., Salloum, I.M. & Mezzich, J.E. (2012). The dynamic origins of positive health and wellbeing. International Journal of Person Centered Medicine 2 (2) 179-187.

Mezzich. J.E. (2012). Towards a Health Experience Formulation for Person-centered Integrative Diagnosis. International Journal of Person Centered Medicine 2 (2) 188-192.

Wallcraft, J., Gayvoronskaya, E. & Salloum, I. (2012). Strengths and protective factors in person-centered integrative diagnosis. International Journal of Person Centered Medicine 2 (2) 193-195.

Botbol, M., Banzato, C.E.M. & Salvador-Carulla, L. (2012). Categories, Dimensions and Narratives for Person-centered Diagnostic Assessment. International Journal of Person Centered Medicine 2 (2) 196-200.

Wallcraft, J., Amering, M., Steffen, S. & Salloum, I. (2012). Evaluators and assessment process in Person-centered Integrative Diagnosis. International Journal of Person Centered Medicine 2 (2) 201-204.

Salvador-Carulla, L., Saavedra, J.E. & Ruiz, M. (2012). Conceptual challenges of the construct ‘functioning and disabilities’ in the person-centered framework. International Journal of Person Centered Medicine 2 (2) 205-213.

Saavedra, J.E., Mezzich, J.E., Otero, A. & Salloum, I.M. (2012). The revision of the Latin American Guide for Psychiatric Diagnosis (GLADP) and an initial survey on its utililty and prospects. International Journal of Person Centered Medicine 2 (2) 214-221.

Abou-Saleh, M.T. & Millar, H.L. (2012). The evolving WFMH-ICPCM collaborative project through dialogue and partnership: Perspectives from the World Federation for Mental Health. International Journal of Person Centered Medicine 2 (2) 222-227.

Wallcraft, J., Amering, M., Steffen, S. & Salloum, I. (2012). Person-centered medicine: a partnership approach. International Journal of Person Centered Medicine 2 (2) 228-233.

Trivedi, J.K., Jilani, A.Q. & Kar, S.K. (2012). Levels of client satisfaction following the application of a person-centered management approach in persons suffering with schizophrenia. International Journal of Person Centered Medicine 2 (2) 234-239.

Tarter, R.E., Kirisci, L., Ridenour, T. & Bogen, D. (2012). Application of person-centered medicine in addiction. International Journal of Person Centered Medicine 2 (2) 240-249.

Christodoulou, N.G. (2012). Young health professionals’ perspectives on the significance of person-centered medicine for future directions in healthcare. International Journal of Person Centered Medicine 2 (2) 250-252.

Bunniss, S., Gray, F. & Kelly, D. (2012). Collective learning, change and improvement in healthcare: piloting a facilitated learning initiative with general practice teams. International Journal of Person Centered Medicine 2 (2) 253-262.

Bäck, A., Andersson Sundell, K., Horne, R., Landén, M. & Mårdby, A-C. (2012). The Medication Adherence Report Scale (MARS-5) in a Swedish sample with bipolar disorder - a pilot study. International Journal of Person Centered Medicine 2 (2) 263-270.

Gomide, L.B., de Souza Montenegro, M.L.L., Nogueira, A.A., Neto, O.B.P., Rose e Silva, J.C. & Candido dos Reis, F.J. (2012). Lower pain thresholds in women with chronic pelvic pain: recognizing the role of anxiety and depression as part of person-centered approaches to treatment. International Journal of Person Centered Medicine 2 (2) 271-278.

Mache, S., Vitzhum, K., Klapp, B.F. & Groneberg, D.A. (2012). How to improve the quality of medical hospital treatment and person-centered care: working conditions and job satisfaction as preconditions for satisfying medical care in German hospitals. International Journal of Person Centered Medicine 2 (2) 279-287.

Michel, C., Spinewine, A., Mouzon, A., Hecq, J-D., Jamart, J., Dive, A. & Krug, B. (2012). Detection and management of hospital malnutrition: general guidelines versus “on the ward” sensitization as part of person-centered healthcare. International Journal of Person Centered Medicine 2 (2) 288-293.

Pezzolesi, C., Manser, T., Schifano, F., Kostrzewski, A., Pickles, J., Nicholls, H., Fishman, D., Arshad, M. & Dhillon, S. (2012). Does clinical handover promote situation awareness? Implications for person-centered healthcare. International Journal of Person Centered Medicine 2 (2) 294-300.

Krug, B., Cornet, A-S., Nonet, V., Jamart, J., Labar, I., Gerard, V., Gerard, F-M. & Van Pee, D. (2012). Evaluation of the efficiency of an educational program on medical errors and patient safety. International Journal of Person Centered Medicine 2 (2) 301-305.

Rutz, W. (2012). Person-centered public health promotion: an overview and a plea. International Journal of Person Centered Medicine 2 (2) 306-309.

Lindsay, M. (2012). Spiritual Care at The End Of Life; The Chaplain as a Hopeful Presence, (Nolan, S). International Journal of Person Centered Medicine 2 (2) 310-315.

Lindsay, M. (2012). Hearing the Person with Dementia; Person-Centered Approaches to Communication for Families and Caregivers, (McCarthy, B). International Journal of Person Centered Medicine 2 (2) 316-317.

Lindsay, M. (2012). Professional Boundaries in Social Work and Social Care; A Practical Guide to Understanding, Maintaining and Managing Your Professional Boundaries, (Cooper, F). International Journal of Person Centered Medicine 2 (2) 318-319.

Lindsay, M. (2012). A Practical Guide to Delivering Personalisation: Person-centered Practice in Health and Social Care, (Sanderson, H. & Lewis, J). International Journal of Person Centered Medicine 2 (2) 320-322.

Montenegro, R. (2012). Upgrading the ICPCM institutional website and interactions with related ones (IJPCM and GLADP websites). International Journal of Person Centered Medicine 2 (2) 323-325.

Braquehais, M.D. (2012). Towards a person-centered, “mind oriented” model of suicide. International Journal of Person Centered Medicine 2 (2) 326-327.