A paradigm in pediatrics to deliver family and child-centered care

Main Article Content

Paul Rosen


The concepts behind person-centered care continue to evolve. In pediatric healthcare, both the child and family are considered. In this article, an overview of person-centered care in pediatrics is presented. The model includes six key features: 1 communication; 2 access to care; 3 flow; 4 individualization; 5 coordination of care and 6 connectedness. Effective communication should occur between healthcare providers and families, between physicians and between physicians, nurses and other medical staff. Families should have easy access to care. Making appointments and obtaining information should be made easy for families. Experiences with the healthcare system should be designed to eliminate bottlenecks and minimize waiting. The child and family should be treated with respect for diverse social and cultural backgrounds. The personal belief systems of the family should be respected. The family should not have to expend effort to navigate a complex healthcare system. The system should offer coordination of care to ensure families have access to and obtain the services they require. Families struggling with the diagnosis of a child with a medical condition should be supported. Connecting families to other families can help break down feelings of isolation.

Article Details

Regular Articles


Mezzich, J. E., Snaedal, J., van Weel, C. & Heath, I. (2010). From disease to patient to person: towards a person-centered medicine. Mount Sinai Journal of Medicine 77, 304 –306.

Mezzich, J. E., Snaedal, J., van Weel, C., Botbol, M. &Salloum, I. (2011). Introduction to person-centered medicine:from concepts to practice. Journal of Evaluation in ClinicalPractice17, 330-332.

Rosen, P. & Kwoh, C.K. (2007).Patient-physician e-mail: an opportunity to transform pediatric health care delivery. Pediatrics120(4) 701-706.

O’Mahony, S., Mazur, E., Charney, P., Wang, Y. & Fine, J. (2007). Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. Journal of General Internal Medicine 22, 1073-1079.

Muething, S.E., Kotagal, U.R., Schoettker, P.J., Gonzalez del Rey, J. & DeWitt, T.G. (2007). Family-centered bedside rounds: a new approach to patient care and teaching. Pediatrics 119(4) 829-832.

Rosen, P., Stenger, E., Bochkoris, M., Hannon, M.J. & Kwoh, C.K. (2009).Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Pediatrics123(4) e603-608.

Sadler, B.L., Berry, L.L., Guenther, R., Hamilton, D.K., Hessler, F.A., Merritt, C. & Parker, D. (2011).Fable hospital 2.0: the business case for building better health care facilities. Hastings Center Report 41(1)13-23.

(Erratum appears in Hastings Center Report. 2011.41(3)8).

Betancourt, J.R., Green, A.R., Carillo, J.E. & Amaneh-Firepong, O. (2003). Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Reports 118, 293-302.

Betancourt, J.R. (2003). Cross-cultural medical education: conceptual approaches and frameworks for evaluation. Academic Medicine 78, 560-569.

Berwick, D.M. (2009). What ‘patient-centered’ should mean: confessions of an extremist. Health Affairs 28 (4) w555-w565.