Limits...
Patient centred approach in endocrinology: From introspection to action.

Baruah MP, Kalra B, Kalra S - Indian J Endocrinol Metab (2012)

View Article: PubMed Central - PubMed

Affiliation: Department of Endocrinology, Excel Hospitals, Guwahati, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The presence of the baby stirred up his “endocrine brain” to make forays into the baby's history, and he systematically reached a “rare” diagnosis (of congenital adrenal hyperplasia (CAH))... In fact, patient centered approach now occupies centre-stage in the latest diabetes management guidelines... Other aspects of endocrine care, are however, seem not to have felt the effect of patient-centered strategies in their practice... The attributes of good diabetic care, or rather, good endocrine care, are captured in the acronym “CARES” [Box 1], which can be used to describe the features of PCP... The term PCP also encompasses the concept of shared discussion making (SDM)... An earlier editorial in this journal discusses ways in which endocrine patients can be empowered to improve therapeutic outcomes... SDM is acceptable insofar as it does not lead to a potentially life threatening or organ destabilizing situation... Patients with panhypopituitarism presenting to an average Indian endocrine consultant certainly get replacement for adrenal steroid and thyroxine, but are less likely to be offered sex steroid replacement, and most likely would never be even informed about growth hormone replacement, albeit in the pretext of financial constraint (rather than medical reasons)... A PCP, using SDM after adequate patient empowerment, helps find the most suitable method of treatment for a particular patient... The endocrine community at large should debate extensively about how far one should go in involving patients in decisions that impact their lives, and about how much can “scientific accuracy” be sacrificed for “social appropriateness. ” One needs to introspect as to what is paramount in endocrine practice: patient satisfaction or physician pride... Careful examinations of available evidence tell us that we do not know, with certainty, about much that we practice in endocrinology... Which patient is an appropriate candidate for hormone replacement therapy after menopause? Perhaps our patients have the answer... If only we could listen to them!

No MeSH data available.


Components of Patient-Centered Professionalism
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3475889&req=5

Figure 1: Components of Patient-Centered Professionalism

Mentions: The attributes of good diabetic care, or rather, good endocrine care, are captured in the acronym “CARES” [Box 1], which can be used to describe the features of PCP.[6]


Patient centred approach in endocrinology: From introspection to action.

Baruah MP, Kalra B, Kalra S - Indian J Endocrinol Metab (2012)

Components of Patient-Centered Professionalism
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3475889&req=5

Figure 1: Components of Patient-Centered Professionalism
Mentions: The attributes of good diabetic care, or rather, good endocrine care, are captured in the acronym “CARES” [Box 1], which can be used to describe the features of PCP.[6]

View Article: PubMed Central - PubMed

Affiliation: Department of Endocrinology, Excel Hospitals, Guwahati, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The presence of the baby stirred up his “endocrine brain” to make forays into the baby's history, and he systematically reached a “rare” diagnosis (of congenital adrenal hyperplasia (CAH))... In fact, patient centered approach now occupies centre-stage in the latest diabetes management guidelines... Other aspects of endocrine care, are however, seem not to have felt the effect of patient-centered strategies in their practice... The attributes of good diabetic care, or rather, good endocrine care, are captured in the acronym “CARES” [Box 1], which can be used to describe the features of PCP... The term PCP also encompasses the concept of shared discussion making (SDM)... An earlier editorial in this journal discusses ways in which endocrine patients can be empowered to improve therapeutic outcomes... SDM is acceptable insofar as it does not lead to a potentially life threatening or organ destabilizing situation... Patients with panhypopituitarism presenting to an average Indian endocrine consultant certainly get replacement for adrenal steroid and thyroxine, but are less likely to be offered sex steroid replacement, and most likely would never be even informed about growth hormone replacement, albeit in the pretext of financial constraint (rather than medical reasons)... A PCP, using SDM after adequate patient empowerment, helps find the most suitable method of treatment for a particular patient... The endocrine community at large should debate extensively about how far one should go in involving patients in decisions that impact their lives, and about how much can “scientific accuracy” be sacrificed for “social appropriateness. ” One needs to introspect as to what is paramount in endocrine practice: patient satisfaction or physician pride... Careful examinations of available evidence tell us that we do not know, with certainty, about much that we practice in endocrinology... Which patient is an appropriate candidate for hormone replacement therapy after menopause? Perhaps our patients have the answer... If only we could listen to them!

No MeSH data available.