Abstract:
:Patient-focused or patient-centered care is not a new concept, but its value has been overlooked in preference to the technology-based, disease-centered model that has prevailed in medicine for the last 50 years. Patient-focused care includes four broad areas of intervention: communication with patients, partnerships, health promotion, and physical care (medications and treatments). We can conceptualize patient-focused care as being the care we would like our loved ones to receive. There is considerable evidence that patients prefer a patient-focused approach. Unfortunately, there are also many studies detailing physicians' disconnection with patients' needs, particularly the need for information, and misunderstandings and assumptions based on poor communication. However, it is possible to develop physicians' skills in patient-focused care and provide physicians with the tools to overcome the barriers to this approach. The patient-focused approach has been shown to improve physicians' performance, patient satisfaction, and health outcomes without requiring additional investment in time or resources. Patient-focused care has also been shown to improve adherence to medication/advice, a well-known problem in asthma. There are also benefits to the physician in terms of improved outcomes for their patients, higher patient retention, and potentially a reduced risk of litigation. Patient-focused care may be a particularly valuable approach for the management of "difficult-to-treat" patients. In summary, the "three Cs" of patient-focused care-communication, continuity of care, and concordance (finding common ground)-are highly relevant to the effective treatment of pulmonary disease and should be a key component of asthma management.
journal_name
Chestjournal_title
Chestauthors
Irwin RS,Richardson NDdoi
10.1378/chest.130.1_suppl.73Ssubject
Has Abstractpub_date
2006-07-01 00:00:00pages
73S-82Sissue
1 Suppleissn
0012-3692issn
1931-3543pii
S0012-3692(15)32959-7journal_volume
130pub_type
杂志文章,评审相关文献
CHEST文献大全abstract:BACKGROUND:Pulmonary arterial hypertension (PAH) is a progressive disease with high rates of morbidity and mortality. Current therapies improve symptoms, functional capacity, and, in select cases, survival. Little is known about patient factors that may predict the likelihood of patient-important, clinically relevant r...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1378/chest.14-0263
更新日期:2015-01-01 00:00:00
abstract::A ventricular inhibited unipolar pacing system in a case of so-called pacemaker syndrome was successfully converted into an atrioventricular sequential system without replacing the ventricular lead. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.77.3.436
更新日期:1980-03-01 00:00:00
abstract::To predict the postoperative improvement in performance status after bullectomy, preoperative pulmonary function and dyspneic grade were evaluated in 20 patients with giant bulla. The patients were divided into two groups, based on postoperative performance status: group 1 consisted of 15 patients with improved status...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.3.668
更新日期:1992-03-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the prevalence of left ventricular diastolic dysfunction in patients with biopsy specimen-proved pulmonary sarcoidosis without clinical evidence of cardiac disease. DESIGN:A cross-sectional study. SETTING:A large tertiary care university teaching hospital. PATIENTS AND CONTROL SUBJECTS:F...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.109.1.62
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Tuberculosis (TB) remains a public health threat with significant annual impacts on morbidity and mortality. However, few studies have examined the impact of active and latent TB infection (LTBI) on health-related quality of life (HRQL). METHODS:Patients with recently diagnosed active TB or LTBI patients we...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.07-1494
更新日期:2008-02-01 00:00:00
abstract:INTRODUCTION:Most experimental studies of orthotopic heart and lung graft failure are complicated by an inability to eliminate the rejection-specific inflammatory mediator from the cardiopulmonary bypass. METHODS:The following model was developed in our laboratory to investigate the feasibility of performing an orthot...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.116.5.1360
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:Rhinovirus (RV)-induced pulmonary exacerbations are common in cystic fibrosis (CF) and have been associated with impaired virus clearance by the CF airway epithelium in vitro. Here, we assess in vivo the association of RV prevalence and load with antiviral defense mechanisms, airway inflammation, and lung fu...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.12-0954
更新日期:2013-03-01 00:00:00
abstract::Single-breath carbon monoxide diffusing capacity (Dsb) was measured before and during immersion of one hand in ice water (cold pressor test) in the following three groups of subjects: (1) normal subjects; (2) patients with isolated Raynaud's disease; and (3) patients with Raynaud's phenomenon and progressive systemic ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.84.3.264
更新日期:1983-09-01 00:00:00
abstract::A patient with ulcerative colitis had extensive upper zone pulmonary disease while taking sulfasalazine. Pulmonary function tests showed progressive restrictive and obstructive disease. Lung biopsy showed bronchiolitis obliterans and chronic interstitial pneumonia or fibrosing alveolitis with a mild eosinophilic infil...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.81.6.766
更新日期:1982-06-01 00:00:00
abstract::The effects of six weeks of threshold pressure inspiratory muscle training (IMT) on inspiratory muscle performance, breathing pattern and exercise performance were studied in eight patients with severe airflow obstruction. The results indicated that IMT improved inspiratory muscle performance but did not affect exerci...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.3.535
更新日期:1989-03-01 00:00:00
abstract::Bronchial epithelial damage and mucus hypersecretion are characteristic features of chronic airway inflammation that can impair mucociliary clearance and can cause recurrent or persistent respiratory infection. In response to chemoattractants produced by damaged or inflamed tissue, neutrophils move through sequential ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.125.2_suppl.41s
更新日期:2004-02-01 00:00:00
abstract:CASE PRESENTATION:A 69-year-old man consulted for a 3-day history of fever, wet cough, and yellow-green phlegm. He denied having any dyspnea, chest pain, hemoptysis, swallowing disorders, choke, chills, asthenia, anorexia, or weight loss. He reported a continuous dry cough and three episodes of pneumonia in the past 4 ...
journal_title:Chest
pub_type:
doi:10.1016/j.chest.2020.07.033
更新日期:2020-12-01 00:00:00
abstract::Twenty-eight patients developed severe, progressive acute respiratory insufficiency despite aggressive application of conventional respiratory therapy. Application of increased PEEP (18 torr or greater) resulted in a significant decrease in QA/QT. Selection of the optimal levle of PEEP for each patient required seria...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.67.2.156
更新日期:1975-02-01 00:00:00
abstract:STUDY OBJECTIVES:To assess the clinical utility of flexible bronchoscopy (FB) in the evaluation of patients with chronic cough and normal or nonlocalizing chest radiographic findings. DESIGN:Retrospective chart review. SETTING:Tertiary referral center. PATIENTS:Forty-eight patients with chronic cough and no other cl...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.126.1.268
更新日期:2004-07-01 00:00:00
abstract::The respiratory pattern during wakefulness and sleep was characterized in a 70-year-old woman with respiratory dyskinesia. During wakefulness, both respiratory frequency and tidal volume exhibited an irregularly irregular pattern. In addition, wide fluctuations occurred in the position of the rib cage and abdomen at e...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.90.5.779
更新日期:1986-11-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the incidence and clinical factors related to the persistence of infarct-associated pericardial effusion (PE) after primary angioplasty. DESIGN:Consecutive case-series analysis. SETTING:Coronary care unit in a university hospital. PATIENTS:Three hundred ninety-one consecutive patients wit...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.2.798
更新日期:2005-08-01 00:00:00
abstract:STUDY OBJECTIVE:Our objective was to determine if the hemosiderin content of BAL macrophages allows us to draw any differential diagnostic conclusions in a variety of lung diseases. PATIENTS AND STUDY DESIGN:One hundred one patients who underwent BAL for different diagnostic reasons were studied prospectively. MAIN R...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.6.1794
更新日期:1992-12-01 00:00:00
abstract:STUDY OBJECTIVES:Anastomotic leakage after esophagectomy is associated with high postoperative morbidity and mortality. The most important predisposing factors for anastomotic leaks are ischemia of the gastric conduit and low blood oxygen content. The aim of this study was to evaluate the influence of thoracic epidural...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.5.3461
更新日期:2005-11-01 00:00:00
abstract::Complications following open chest massage in patients with porcine xenografts in the mitral location have not been previously described. The authors report a case of cardiac resuscitation following mitral valve replacement with a stented porcine valve. The patient died following brief closed chest, and then, prolonge...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.77.2.216
更新日期:1980-02-01 00:00:00
abstract:BACKGROUND:Pulmonary artery remodeling triggered by alveolar hypoxia is considered the main mechanism of pulmonary hypertension (PH) in COPD patients. We hypothesized that the risk for PH in COPD is increased by an elevation in the proinflammatory cytokines interleukin (IL)-6, monocyte chemoattractant protein-1 (MCP-1)...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.08-2420
更新日期:2009-09-01 00:00:00
abstract::Propofol, a new intravenous sedative agent, was investigated in 41 asthmatic patients undergoing day-case (outpatient) fiberoptic bronchoscopy. The study design was a randomized comparison between propofol and midazolam, which is a well-established intravenous sedative agent. The age, weight, and American Society of A...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.104.4.1029
更新日期:1993-10-01 00:00:00
abstract:BACKGROUND:The clinical manifestations of bronchial remodeling in asthma and the potential impact of this process on lung function remain unclear. We aimed to determine whether the presence of pathologic features of airway remodeling in patients with asthma was associated with steroid responsiveness in the short term. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.11-0232
更新日期:2012-06-01 00:00:00
abstract::A 10-year-old, 36-kg child with a malignant air leak who failed conventional mechanical ventilation and high-frequency jet ventilation was successfully treated with a neonatal high-frequency oscillatory ventilator for 31 days. Since the air leak resolved with minimal hemodynamic compromise, this technique may have app...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.1.263
更新日期:1991-07-01 00:00:00
abstract::A study of 26 men with bronchogenic cancer demonstrated high serum calcitonin levels in 62 percent (16). Levels were particularly high in patients with small-cell cancer and adenocarcinoma. Two varieties of hypercalcitonemia have been encountered: (1) ectopic hypercalcitonemia, in which the hormone is secreted by the ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.4.495
更新日期:1976-04-01 00:00:00
abstract::Between December 1985 and August 1988, there were 115 patients at 13 centers who were entered on a randomized comparison of tetracycline and bleomycin for treatment of malignant pleural effusions. Fifteen patients were not treated, primarily due to rapid progression of systemic cancer. Fifteen patients entered on a hi...
journal_title:Chest
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.100.6.1528
更新日期:1991-12-01 00:00:00
abstract:BACKGROUND:Platelet activation reduces pulmonary microvascular blood flow and contributes to inflammation; these factors have been implicated in the pathogenesis of COPD and emphysema. We hypothesized that regular use of aspirin, a platelet inhibitor, would be associated with a slower progression of emphysema-like lung...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1016/j.chest.2017.11.031
更新日期:2018-07-01 00:00:00
abstract::Allergic bronchopulmonary aspergillosis (ABPA) is an immunologic pulmonary disorder caused by hypersensitivity to Aspergillus fumigatus. Clinically, a patient presents with chronic asthma, recurrent pulmonary infiltrates, and bronchiectasis. The population prevalence of ABPA is not clearly known, but the prevalence in...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.08-2586
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:Analysis of laryngotracheoscopic findings of the upper airway tract following percutaneous tracheostomy using the technique according to Griggs. DESIGN:Retrospective cohort study PATIENTS:Nineteen of 32 long-term surviving patients (mean follow-up duration, 17 months; range, 11 to 23 months) underwent a mod...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.1.206
更新日期:2002-07-01 00:00:00
abstract::Between November, 1965 and June, 1970, 175 patients underwent mitral valve replacement with the Smeloff-Cutter prosthesis (109 patients) or the toroidal valve (66 patients). The early mortality for patients with a toroidal mitral prosthesis was 18.2 percent (12 patients) and the late mortality 34.8 percent (23 patient...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.71.2.135
更新日期:1977-02-01 00:00:00
abstract:BACKGROUND:COPD has traditionally been defined by the presence of irreversible airflow limitation on spirometry using either the GOLD (Global Initiative for Chronic Obstructive Lung Disease) or American Thoracic Society/European Respiratory Society criteria (lower limit of normal [LLN]). We have observed that some pati...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-1556
更新日期:2015-07-01 00:00:00