Cooperating for better care.

Ralph Snyderman

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5 suggestions to advance personalized medicine

 

Among their ideas:

  1. “Before {the patient meets}  with the clinician, a member of the care team  {should} assesses the patient’s level of engagement and capacity for self-management, so that the patient can participate in his or her care in a meaningful way. As part of that process, the patient completes a self-assessment of health needs, preferences, and goals by telephone, electronically, or in person. Through the medical record, this information is conveyed to the clinician before or at the time of the appointment.
  2. “The clinician assesses the patient’s health status and health risks using the best available conventional, genomic, and other precision diagnostic tools. Optimal risk-mitigation and therapeutic goals for the patient are identified.
  3. The clinician and patient set and clearly articulate shared goals, using the clinician’s health assessment and the patient’s self-assessment.
  4. “The shared goals are then incorporated into a personalized health plan that the patient is directly involved in crafting. The clinician chooses appropriate metrics for monitoring progress, identified explicitly for the patient; an electronic medical record is used for data collection and tracking.
  5. “The clinician coordinates care with the rest of the patient’s care team and arranges for appropriate follow-up.

“With this five-step process, the personalized health plan becomes a living, adaptable document — available to all team members — that is continually revisited in person, by phone, and/or via patient portals and mobile applications.”

To read their article, please hit this link.


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