Conceptualization and Metrics in Person Centered Medicine

Article Sidebar

PDF
Published: Feb 2, 2017
DOI: https://doi.org/10.5750/ijpcm.v6i4.609
Keywords:
Person centered medicine healthcare concepts definitions key elements literature reviews consultations metrics measurement models instruments multivariate statistical analyses factor analysis regression analysis acceptability reliability

Main Article Content

Juan E Mezzich
Mount Sinai School of Medicine, New York University
James Appleyard
President, International College of Person-centered Medicine; Former President, World Medical Association, London, United Kingdom.
Michel Botbol
Board Director, International College of Person-centered Medicine; Chair, World Psychiatric Association Section on Psychoanalysis in Psychiatry; Professor of Child and Adolescent Psychiatry, University of Western Brittany, Brest, France.
Ihsan M Salloum
Board Director, International College of Person-centered Medicine; Chair, Section on Classification, Diagnostic Assessment and Nomenclature, World Psychiatric Association; Professor of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.
Levent Kirisci
Statistical Editor, International Journal of Person Centered Medicine; Professor of Pharmaceutical Sciences, University of Pittsburgh, Pennsylvania, USA.

Abstract

Since the inception of Person Centered Medicine (PCM) as a programmatic movement, one could find the articulation of science and humanism as a core concept. This revealed a prominent concern for conceptual clarity, illustratively to formulate humanism as the essence of medicine as well as to engage the scientific method as an essential tool. An ongoing scientific effort in PCM involves systematic conceptualization. Another one, reflecting concern for precision in description and prediction, looks at metrics and measurement in its various forms and levels. These two lines of work are outlined below.

Article Details

Issue
Vol. 6 No. 4 (2016)
Section
Editorial
Author Biography

Juan E Mezzich, Mount Sinai School of Medicine, New York University

Born in Lima, Peru, of Yugoslavian and Peruvian ancestries. Medical graduate of Cayetano Heredia Peruvian University and president of the University Student Association.Psychiatric residency training, M.Sc. in Academic Psychiatry, and M.A. and Ph.D. in Mathematical and Statistical Psychology, all at Ohio State University, and diplomate of the American Board of Psychiatry and Neurology.Professorial positions in psychiatry, sequentially at Stanford University, California, the University of Pittsburgh, Pennsylvania, and the Mount Sinai School of Medicine, New York University.Doctor Honoris Causa at Athens University (Greece), Cordoba University (Argentina), Cayetano Heredia Peruvian University (Peru), and Cluj-Napoca University, Timisoara University and Oradea University (Romania). Honorary Professorships at Cayetano Heredia Peruvian University and University of Belgrade (Serbia), World Psychiatric Association Honorary Fellow, Simon Bolivar Award of the American Psychiatric Association, Past-President of the American Society of Hispanic Psychiatry, honorary member/fellow of several national psychiatric associations, and visiting professor and lecturer at academic institutions over 80 countries across all continents.Earlier academic and international work: Secretary & Chair (1983-1996) and Honorary Chair (2008-) of the WPA Section on Classification and Diagnostic Assessment; member of the ICD-10 Work Group and the DSM-IV Task Force; chair of the US National Institute of Mental Health Group on Culture, Diagnosis and Care; consultant on the development of the Chinese Classification of Mental Disorders (3rd Ed.), the Japanese Modification of ICD-10, the Third Cuban Glossary of Psychiatry, and the Latin American Guide for Psychiatric Diagnosis (GLADP); and director of the 1993-2003 WPA International Guidelines for Diagnostic Assessment (IGDA).Author/coauthor of over 280 scientific journal articles and book chapters (including sections on diagnosis,   epidemiology, and culture in Kaplan & Sadock's and Tasman et al’s Textbooks of Psychiatry), and of 26 books and monographs, including Images of Latin American Psychiatry (2013), Coercive Treatment in Psychiatry (2011), Conceptual Bases of Psychiatry for the Person (2011), Conceptual Explorations on Person-centered Medicine (2010), Psychiatric Diagnosis: Challenges and Prospects (2009), Cultural Formulation: A Reader for Psychiatric Diagnosis (2008), Psychiatry and Sexual Health: An Integrative Approach (2006), Philosophical & Methodological Bases of Psychiatric Diagnosis (2005), Guía Latinoamericana de Diagnóstico Psiquiátrico (GLADP) (APAL, 2004), WPA International Guidelines for Diagnostic Assessment (IGDA) (2003), Cultural Psychiatry: International Perspectives (2001), Culture and Psychiatric Diagnosis: A DSM-IV Perspective (1996), Psychiatric Epidemiology (1994). Editor, Psychopathology, (2002-2010), Deputy Editor-in-Chief (2010-2011) and Editor in Chief (2013-  ), Int’l J Person Centered Medicine,  and editorial board member of 15 other medical journals in the Americas, Europe, Asia, and Africa.WPA Secretary General (1996-2002), Vice-President and President-Elect (2002-2005), President (2005-2008), and Council Member (2008- ). President (2009-2013) and then Secetary General (2013- ) of the International Network , now International College, of Person-centered Medicine.Current Work: 1) Person-centered Psychiatry and Medicine: Organization of the 2008, 2009, 2010 and 2011 Geneva Conferences on Person-centered Medicine, and Conferences in London (2007), Paris (2008), and Uppsala (2008) on Psychiatry for the Person; thematic publication of several monographs and journal editorials & papers, and initiating the International Network for Person-centered Medicine in collaboration with the World Medical Association, the World Health Organization and 25 other international medical and health bodies, 2) International diagnostic systems, particularly ICD-11, Person-centered Integrative Diagnosis, and Latin American Guide for Psychiatric Diagnosis, through monographs, journal papers, and conferences, 3) Culture-informed clinical concepts and procedures, including the Cultural Formulation, the Personal Health Scale, the Multi-ethnic Bicultural Scale, and the Multicultural Quality of Life Index through publications, conferences and research projects.

References

. Mezzich JE (2007): Psychiatry for the Person: Articulating Medicine’s Science and Humanism. World Psychiatry, 6: 65-67.

. Miles A, Mezzich JE (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: 207-222.

. Wagner P, Perales A, Armas R, Codas O, de los Santos R, Elio-Calvo D, Mendoza-Vega J, Arce M, Calderón JL, Llosa L, Saavedra J, Ugarte O, Vildózola H, Mezzich JE (2014). Latin American Bases and Perspectives on Person Centered Medicine and Health. International Journal of Person Centered Medicine 4: 220-227, 2014.

. Salvador-Carulla L , Cloninger CR, Thornicroft A, Mezzich JE, 2013 Geneva Declaration Consultation Group (2013). Background, Structure and Priorities of the 2013 Geneva Declaration on Person-centered Health Research. International Journal of Person Centered Medicine 3: 109-113.

. Schwarz G (1978). Estimating the dimension of a model. Annals of Statistics 6: 461-464.

. Kirisci L, Reynolds M, Vanyukov M, Ridenour T, Hayes J, Mezzich JE (2011): Developing an institutional information base and bibliographical clearinghouse. International Journal of Person Centered Medicine 1: 109-112.

. Mezzich JE, Snaedal J, van Weel C, Heath I (2010): Toward Person-centered Medicine: From disease to patient to person. Mount Sinai Journal of Medicine 77: 304-306.

. Mezzich JE, Snaedal J, van Weel C, Heath I (2010): Conceptual Explorations on Person-centered Medicine. International Journal of Integrated Care. Vol 10. Supplement

. Mezzich JE, Snaedal J, van Weel C, Botbol M, Salloum I (2011). Introduction to person-centered medicine: from concepts to practice. Journal of Evaluation in Clinical Practice 17(2):330-2.

. Mezzich JE (2011): Building person-centered medicine through dialogue and partnerships. International Journal of Person Centered Medicine 1: 10-13.

. Van Dulmen S, Humphris G, and Eide H (2012). Towards a guideline for person-centered research in clinical communication: lessons learned from three countries. International Journal of Person Centered Medicine 2: 58-63.

. Raia F, Deng M (2014). Relational Medicine: Personalizing Modern Healthcare. Singapore: World Scientific Publishing.

. Botbol M (2012). Du manifeste au subjectif: ce qu’est la médecine de la personne [From objectivity to subjectivity : What Person Centered Medicine is] In SD Kipman (Ed.): Manifeste pour la médecine de la personne [Manifesto for Person Centered Medicine]. Paris, Dion.

. Cloninger CR, Salloum IM, Mezzich JE (2012): The dynamic origins of positive health and wellbeing. International Journal of Person Centered Medicine 2: 179-187.

. Cloninger CR, Salvador-Carulla L, Kirmayer, LJ, Schwartz MA, Appleyard J, Goodwin N, Groves J, Hermans MHM, Mezzich JE, van Staden CW, Rawaf S (2014). A Time for Action on Health Inequities: Foundations of the 2014 Geneva Declaration on Person- and People-centered Integrated Health Care for All. International Journal of Person Centered Medicine 4: 69-89.

. Mezzich JE, Snaedal J, Van weel C, Botbol M, Salloum I, Van Lerberghe W (2011). Articulating person-centered medicine and people-centered public health: A report from the Fourth Geneva Conference on Person-centered Medicine. World Medical Journal 57: 171-174.

. Mezzich JE, Appleyard J (2014) Integration as a key strategy for achieving person- and people-centered care. International Journal of Person Centered Medicine 4: 63-65.

. Mezzich JE, Appleyard J (2013). The world-wide matrix of Person Centered Medicine. International Journal of Person Centered Medicine 3: 183-186.

. Mezzich JE, Appleyard J, Botbol M, Ghebrehiwet T, Groves J, Salloum IM, Van Dulmen S (2014). International journey and the development of Person Centered Medicine. International Journal of Person Centered Medicine 4: 211-216.

. Mezzich JE, Appleyard J, Ghebrehiwet T (2014). Interdisciplinary collaboration and the construction of person-centered medicine. International Journal of Person Centered Medicine 4:149-155.

. Blackmore G (2012). Diagnosing and Improving Functioning in Interdisciplinary Health Care Teams. The Health Care Manager, 31 (3): 197-205.

. Weiss D, Tilin F, & Morgan M (2014). The Interprofessional Health Care Team: Leadership and Development. Burlington, MA.: Jones & Bartlett Learning.

. Mezzich JE (2009). Professional perspectives on bridging : The Person-Centered approach. International Journal of Integrated Care. Vol. 9: Supplement on Bridging Knowledge on Long Term Care, 22 June 2009, ISSN 1568-4156, http://www.ijic.org/.

. Frenk J et al. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet, 376:1923–1958.

. Appleyard J (2013): Introduction to Ethical Standards for Person-centered Health Research. International Journal of Person Centered Medicine 3: 258-262.

. Christodoulou, G. (2010). Moral Theories and Medicine for the Person. International Journal of Integrated Care 10: 48-49.

. Van Staden CW (2011). African approaches to an enriched ethics of person-centred health practice. International Journal of Person Centered Medicine 1: 14-17.

. Deau X, Appleyard J (2015): Person Centered Medicine as an Ethical Imperative. International Journal of Person Centered Medicine 5: 60-63.

. Mezzich JE, Kirisci L, Salloum IM (2015). Technical Report from the Project on Systematically Conceptualizing and Developing Measures to Assess Progress towards Person- and People-centered Care. Technical Report, International College of Person Centered Medicine, New York.

. Frede Μ (1987). Philosophy and Medicine in antiquity. In: Frede M (ed): Essays in Ancient Philosophy. Minneapolis: Univ. of Minnesota Press.

. Ierodiakonou CS (2014). Medicine as a model for Aristotle’s ethics and his person-centered approach. International Journal of Person Centered Medicine 4: 31-34.

. Botbol M (2015). Introduction to Research on Positive Health Oriented Psychotherapy. International Journal of Person Centered Medicine 5

. Stiglitz J (2009). On Assessment Tools. New York Times, 23 September 2009.

. Mezzich JE, Salloum IM, Cloninger CR, Salvador-Carulla L, Kirmayer L, Banzato CE, Wallcraft J, Botbol M (2010). Person-centered Integrative Diagnosis: Conceptual Bases and Structural Model. Canadian Journal of Psychiatry 55:701-708.

. Saavedra JE, Otero A, Mezzich JE, Salloum IM (2011). The revision of the Latin American Guide for Psychiatric Diagnosis (GLADP): a person-centered approach to international classification. International Journal of Person Centered Medicine 1:440-445.

. Salloum IM, Mezzich JE: Psychiatric Diagnosis: Challenges and Prospects. Wiley-Blackwell, Chichester, UK, 2009

. Cohen BM (2016). Embracing complexity in psychiatric diagnosis, treatment and research. JAMA Psychiatry 73: 1211-1212.

. Barnett K., Mercer S. W., Norbury M., Watt G, Wyke S., Guthrie B (2012). Epidemiology of multimorbidity and implications for healthcare, research, and medical education : a cross sectional study . The Lancet, 380: 37 - 43. doi:10.1016/S0140-6736(12)60240-2.

. Janca A, Kastrup MC, Katschnig H, Lopez-Ibor JJ, Mezzich JE, Sartorius N (1996): The WHO Short Disability Assessment Schedule: A tool for the assessment of difficulties in selected areas of functioning of patients with mental and physical disorders. Social Psychiatry and Psychiatric Epidemiology, 31:349-354.

. Cloninger CR. Feeling Good (2004): The Science of Well-Being. New York: Oxford University Press.

. Mezzich JE (2005). Positive health: Conceptual place, dimensions and implications. Psychopathology, 38: 177-179.

. Cantor N, Smith EE, French RD, Mezzich JE (1980): Psychiatric diagnosis as prototype categorization. Journal of Abnormal Psychology, 89:181-193.

. Botbol M, Banzato CEM, Salvador-Carulla L (in press). Categories, dimensions and narratives for person-centered diagnostic assessment. In Mezzich JE, Botbol M, Christodoulou CN, Cloninger CR, Salloum IM (eds): Person Centered Psychiatry. Heidelberg: Springer.

. Mezzich JE, Kraemer HC, Worthington DRL, Coffman GA (1981): Assessment of agreement among several raters formulating multiple diagnoses. Journal of Psychiatric Research, 16:29-39.

. Mezzich JE, Ahn CW (1987): Comment : Psychiatric statistics and clinical information. Statistical Science, 2:125-127.

. Embretson SE, Reise, SP: (2000). Item Response Theory: Principals and Applications. Boston: Kluwer-Nijhoff Publishing.

. Kirisci L, Tarter R, Vanyukov M, Martin C, Mezzich A, Brown S (2006). Application of item response theory to quantify substance use disorder. Addictive Behaviors 31: 1035-1049.

. Congdon, P. (2006). Bayesian Statistical Modelling. 2nd ed. Chichester: Wiley.

. Mezzich JE, Kirisci L, Salloum IM, Trivedi JK, Kar SK, Adams N, and Wallcraft J (in press). Systematic Conceptualization of Person Centered Medicine and Development and Validation of a Measurement Index. International Journal of Person Centered Medicine.

. Kirisci L, Vanyukov MM, and Mezzich JE (in press).Introduction to Metric Issues in Person Centered Medicine Research. International Journal of Person Centered Medicine.

. Vanyukov MM, Cornelius MD, De Genna NM, Reynolds MD, Kirillova GP, Maher BS, and Kirisci L (in press). Measurement of Liability to Addiction: Dimensional Approaches. International Journal of Person Centered Medicine.

. Kirisci L, Tarter RE, Reynolds MD, and Vanyukov MM (in press). Item Response Theory Analysis to Assess Dimensionality of Substance Use Disorder Abuse and Dependence Symptoms. International Journal of Person Centered Medicine.

. Stone CA and Leventhal BC (in press). Accounting for Multidimensionality in Item Responses in Patient-Centered and Patient-Reported Outcomes Measurement. International Journal of Person Centered Medicine.

. Phillips SP, Swift SA, Reipas K, and Zelek B (in press)..Adolescent Resilience Assessment in Person-centered Medical Care. International Journal of Person Centered Medicine.

. Kar SK and Singh A (in press). Person Centered Approach to Care for Dhat Syndrome. International Journal of Person Centered Medicine.