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Posted on September 6, 2022 in WORDPRESS by reyojoson
Patient-centered care management is conventionally defined as the practice of caring for patients (and their relatives) in ways that are meaningful and valuable to the individual patient.
It conventionally includes listening to, informing and involving patients in their medical care, note, medical care, which includes medical diagnostics and medical treatment. It usually does not include ANCILLARY support to the medical care which is usually left to the patient and relatives to accomplish on their own.
What I will narrate here is something that I have been doing in the past, not the first time. This narration is a reinforcement of my proposition that patient-centered care management should not be confined to listening to, informing and involving patients in their medical care. It can and should go beyond this. If needed by a patient, a physician may and must (if within his capability) provide ancillary support.
Case in point.
A 59-year-old female came to my clinic. I diagnosed her to have a Stage 2 breast cancer. She has agreed to a breast operation for her treatment. Actually, she had already been seen in a government hospital 6 to 7 months ago, just awaiting scheduling of operation. Because of the long waiting time in the government hospital (charity section), she decided to see me in my clinic and to discuss possible operation in a private hospital. Although she is a Person with Financial Disability (PFD), she was willing to have an operation in a private hospital if only to have an earlier schedule of operation. After our discussion of her diagnosis and plan of treatment and estimated hospital expense, she agreed to have the operation in the private hospital to be done by me. We were able to get a schedule in 2 weeks’ time. Before we parted ways, I told her I would still try to see if I could help reduce her expenses by having the operation done in a private section of a government hospital. No promise but I will try to help – I told her. She agreed.
After I reached home at 2 pm that day, the first thing that I did was to see if I could find her a slot in the private section of a government hospital – not only a slot but also an early schedule for the operation. I spent about 2 hours doing this. Luckily or by Divine Providence, I was able to find a schedule of operation in 5 days’ time. Of course, she was happy with this development – the early schedule in the private section of a government hospital which will greatly reduce her medical expense. Of course too, I was happy because I was able to help a Person with Financial Disability.
The other thing that I did to provide ancillary support (in her medical expense) was to ask her to secure a Person With Disability card. At 59 years old, she is not a senior citizen yet and therefore no entitlement to a senior citizen discount. I told her to apply for a PWD (Person with Disability) as she is entitled to one because of her diagnosis of breast cancer. I told her to go to the responsible agency right away and get the PWD card before hospital admission. I issued a medical certificate to support her claim for PWD. With PWD, she is entitled to a discount similar to that of a senior citizen. (Note luckily, she has PhilHealth.)
The other things that I plan to do to help her reduce her hospital expense is to be a minimalist surgeon when she is admitted and operated in the private section of the government hospital. I will order and do things (including the operation) on an essential need basis (not nice to have).
Reflection:
Come to think of it. Doing patient-centered care management is also doing compassionate patient management. My operational concept or definition of a compassionate physician is one who feels and shows sympathy and concern for patients especially those in deed of one.
All physicians are expected to be compassionate to patients. The deeper the sympathy to patients, the stronger is the desire to alleviate. The stronger the desire to alleviate, the greater and heavier the assistance to give. Ultimately, it is the assessment of the magnitude and weight of assistance given that determines the degree of compassion. The highest degree of compassion will consist of giving very extraordinary assistance, especially one that approximates the popular phrase of “blood, toils, tears and sweat” of Winston Churchill.
I repeat what I said earlier. Patient-centered care management conventionally includes listening to, informing and involving patients in their medical care, note, medical care, which includes medical diagnostics and medical treatment. It usually does not include ANCILLARY support to the medical care which is usually left to the patient and relatives to accomplish on their own.REPORT THIS AD
My proposition is that patient-centered care management should not be confined to listening to, informing and involving patients in their medical care. It can and should go beyond this. If needed by a patient, a physician may and must (if within his capability) provide ancillary support.
In the anecdote that I gave, the ancillary support was in providing assistance to the Patients with Financial Disability. There are of course other kinds of ancillary support. Providing emotional and psychological counseling to patients is another kind. Providing educational programs for patient empowerment is also another kind.
I welcome comments on my proposition that patient-centered care management should not be confined to listening to, informing and involving patients in their medical care. If needed by a patient, a physician may and must (if within his capability) provide ancillary support.
See related link:
ROJ@23oct30
Posted on January 11, 2023 in WORDPRESS by reyojoson
In addendum to what I wrote before, see below, patient-centered care management includes assisting patients in getting affordable diagnostic procedures.
Case in point: (Date: January 11, 2023)
Illustration of patient-centered care management ——- physician’s advice on where to have a lab test done – patient has to have a CTscan of the abdomen – I suggested a facility which charge less than the others —– here is her response to me: “Doc. Good afternun po natuloy po ako magpa appiont sa I scan sa marikina medyo mura po talaga maraming salamat po blood test ko po bukas after result ng creatinine diretso na po ako mapa apoint for citiscan” —– PATIENT-CENTERED CARE MANAGEMENT consists also of assisting patients in their medical expense.
Posted on September 6, 2022 in WordPress by reyojosonREPORT THIS AD
Patient-centered care management is conventionally defined as the practice of caring for patients (and their relatives) in ways that are meaningful and valuable to the individual patient.
It conventionally includes listening to, informing and involving patients in their medical care, note, medical care, which includes medical diagnostics and medical treatment. It usually does not include ANCILLARY support to the medical care which is usually left to the patient and relatives to accomplish on their own.
What I will narrate here is something that I have been doing in the past, not the first time. This narration is a reinforcement of my proposition that patient-centered care management should not be confined to listening to, informing and involving patients in their medical care. It can and should go beyond this. If needed by a patient, a physician may and must (if within his capability) provide ancillary support.
ROJ@23oct30
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