Table 3 Summary of Patient- and Family-Centered Care Domains and Actions
Domain | Specific Actions/themes |
|---|---|
PFCC Concept #1: Dignity and Respect | |
Builds relationship | Spends sufficient time |
Listens/gives undivided attention | |
Expresses caring and empathy | |
Makes personal connection—verbal | |
Makes personal connection—nonverbal | |
Communicates with honesty and transparency | |
Responds without judgement | |
Protects privacy | |
Relays sense of hope | |
Personalizes care | Knows the patient |
Includes family | |
Understands and accommodates personal circumstances | |
Elicits and respects patients’ values | |
Practices cultural competence and sensitivity | |
Provides empathetic advice | |
Respects patient and family members’ time | Minimizes wait times |
Notifies patients about delays | |
Balances needed time to build relationships with delays in seeing patients | |
PFCC Concept #2: Information Sharing | |
Provides patients and family members with information | Provides information—test results and medical records |
Provides information—disease processes and procedures | |
Provides information—advice/information regarding a health issue | |
Provides information—for decision making/options | |
Provides information—patient educational materials and programs | |
Helps interpret information | |
Follows up | |
Maximizes technology to communicate | |
PFCC Concept #3: Participation | |
Engages in shared decision making | Elicits patient’s values |
Explores options | |
Supports patient and family knowledge, priorities and/or decisions regarding health-related issues | |
Refers to alternative healing modalities | |
Partners with patient | Provides coaching support and advise |
Acknowledges patient’s role and responsibility | |
Sets priorities | |
PFCC Concept #4: Collaboration | |
Actively seeks out and supports opportunities to collaborate with patient and family members | Solicits input |
Demonstrates commitment to change | |
Involves patients and family members in quality improvement | |
Provides training and incentives | |
Addresses concerns about providing input | |
Other PFCC Actions | |
Advocates for patient’s needs | Advocates with insurance |
Advocates with other clinicians | |
Helps find resources | |
Helps overcome obstacles to getting medication and/or care | |
Engages in persistent problem solving | |
Provides uncompensated services | |
Coordinates patient’s care | Coordinates with other medical staff |
Facilitates communication | |
Functions as quarterback for health care team | |
Provides quality referrals | |
Ensures access to care | |
Starts with conservative treatment | |
Has up-to-date technical knowledge | |
Supports wellness and quality of life | |