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DEVELOPING ROBUST AND RESILIENT PATIENT PARTNERSHIPS WITH HEALTH PROFESSIONALS TO PROMOTE PATIENT-CENTRED CARE

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DR. OSAHON ENABULELE

President, World Medical Association.

Presented by:

Venue: Maison Internationale des Associations, Geneva.

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Date: Friday, May 19, 2023.

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At the IAPO GPC 2023 Conference

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OUTLINE

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Definition of PCC

Philosophy of PCC

Core concepts of PCC

Benefits & Goal of PCC

Challenges & WMA’s views

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Conclusion

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INTRODUCTION OF WMA

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  • Refers to World Medical Association.

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  • It is an independent international Federation of Physicians, founded in September 1947.

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  • Represents physicians all over the world, in over 115 NMAs.

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  • Committed to the attainment of the highest standards of health care for all people in the world, UHC, Medical ethics, and Medical education.

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SETTING THE SCENE

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Setting the Scene

  • PCC redefines the relationship between the care giver and the patient.

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  • It is a paradigm shift from the paternalistic/ traditional biomedical and doctor-centred care model to a patient-centred care model.

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  • It is predicated on respect for the ethical principles of autonomy and justice, as well as the recognition of patients as allies for improved quality and safety.

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Patient-Centred Care

“An approach to patient care that seeks to integrate the needs and expectations of the patient in the care process, as well as reconcile the patient and physician agenda in the best interest of the patient.”

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It is an approach to the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships between health care providers and patients.

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PHILOSOPHY OF PCC

Biopsychosocial + Humanistic approach to patient care.

Negotiation of decision making within ethical ideals.

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  • RESPECT AND DIGNITY
  • INFORMATION SHARING
  • PARTICIPATION
  • COLLABORATION
  • NEGOTIATION
  • CARE IN THE CONTEXT OF FAMILY&COMMUNITY

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CORE CONCEPTS AND PRINCIPLES OF PCC

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WHY INVEST IN PERSON-CENTERED CARE?

PFCC

Dr-Patient relationship

Patient/Family&Staff satisfaction

Reduction in Medico-Legal suits

Effective Treatment & health outcomes

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Goal of PCC

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  • The overall goal is to promote the health and well being of patients.

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CHALLENGES OF PCC

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  • Patient-&Family-related challenges

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  • Level of education & Ignorance.

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  • Health seeking behaviour.

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  • Socio-economic status.

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  • Culture and Religious belief.

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  • Patient peculiarities.

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CHALLENGES OF PCC

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  • Physician-related challenges

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  • Personal characteristics.

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  • Training background.

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  • Patient burden/work load.

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  • Violence against physicians.

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  • Culture.

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CHALLENGES OF PCC

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  • Health system challenges

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  • Work place environment.

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  • HRH Deficit/ Workload.

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  • Violence in the workplace.

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  • Poor understanding by Managers.

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  • Profit vs investment in Quality assurance processes.

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STRATEGIC OPTIONS

----WMA PERSPECTIVES

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  • Commitment to PCC: WMA policies
  • DoL; ICoME; DoG; UHC; Social determinants; Pt.Safety.

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  • Robust patient partnerships with HPs is a process.

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  • Advocacy--Pt participation in their care/ care plans.

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  • Improved education & training of physicians.
  • Undergraduate & Postgraduate Med Curriculum.
  • Train HPs to provide compassionate care, demonstrate empathy, and offer emotional support to patients throughout their journey.

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  • Resolve Health system deficits---HRH; Infrastructure

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WMA PERSPECTIVES

  • Re-orientation of Hospital Managers.

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  • Promote Open/Clear Dialogue/Communication.

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  • Encourage Pts in decision making.

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  • Support Pt advocacy.

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CONCLUSION

Patient-centered care is fundamental to effective clinical decision making, and needs to be effectively practiced to engender improved patient satisfaction and health outcomes.

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To do this, there is need for robust and resilient patient partnerships with health professionals, as well as resolution of the misunderstandings about the concept of PCC, especially about what determines patient centeredness.

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The WMA remains very committed to the expression of her various policies that seek to protect the rights of patients, including their participation in their care plans.

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APPRECIATION

  • IAPO Board & Organizing Team.

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  • WMA.

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  • My Wife and Family.

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THANK YOU!

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DR. OSAHON ENABULELE

M.B;B.S,MHPM, FWACP,FNMA

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President, World Medical Association

E-mail: osahoncmavp@gmail.com; lion_killer123@yahoo.com