Patient/Client Centred Approach

At Diabetes Insight/Helena Farrell Consultancy we operate from a patient centred approach. This approach involves actively engaging and encouraging the patient and their families to become an equal partner in making their own health care decisions. The IOM (Institute of Medicine) defines patient-centered care as[1]:

“Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions”

Health care is not the providence of individual health care professionals which is typically seen to be the very traditional old school model of health care. This is where clinicians made the decisions and the patient followed through regardless. This was often placing the health care professionals needs above the needs of the patient. Patient centred care was once a radical concept, but has now been generally accepted as the best approach in health care. the Institute on Medicine regards patient-centered care as one of 6 factors when approaching the highest quality of health care [1].

These four attributes of patient-centered care are the following[2]: 

  • “Whole-person” care.
  • Coordination and communication
  • Patient support and empowerment
  • Ready access

The NRC Picker Eight Dimensions of Patient-Centred Care are as follows [3]:

The 5 components of patient-centred care are communication, provider effectiveness, alignment of objective, information & encouragement, and patient incentive [4]. All these can be found at Diabetes Insight/Helena Farrell Consultancy.

In its Declaration on Patient-Centred Healthcare, The International Alliance of Patients’ Organizations (IAPO) sets out five principles of patient-centered healthcare: respect; choice and empowerment; patient involvement in health policy; access and support and information[5].

The following link is a very powerful speech made by Don Berwick, formerly of the Institute of Healthcare Improvements in the US, who has written . “What Patient-Centered Should Mean: Confessions of an Extremist”Health Affairs Web Exclusive. Retrieved 25 March 2011


[1]: Institute on Medicine. “Crossing the Quality Chasm: A New Health System for the 21st Century”. Retrieved 26 November 2012.

[2]  Bechtel, Christine. “If You Build it, Will They Come? Designing Truly Patient-Centered Health Care”Health Affairs. Retrieved 2011-03-25.


[4] Gill, P.S. (2013). “Improving Health Outcomes: Applying Dimensions of Employee Engagement to Patients”The International Journal of Health, Wellness and Society 3 (1): 1–9.

[5]:  International Alliance of Patients’ Organizations (IAPO, 2006). “Declaration on Patient-Centred Healthcare”. Retrieved 13 December 2011

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