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Defining Patient-Centricity: Opportunities, Challenges, and Implications for Clinical Care and Research

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Abstract

The Patient-Centered Outcomes Research Institute (PCORI), created and funded by the Affordable Care Act, is charged with bringing the patient perspective to clinical research design and the outcomes that are studied. However, there is no consensus definition of “patient-centeredness” or “patient-centricity.” This paper distinguishes between the terms and describes an infrastructure for supporting the concept of patient-centricity. The patient’s role needs to be described in a way that makes it feasible to implement health care delivery and support parameters to conduct clinical research over a sustained period of time. The authors propose the use of a structured Practice-Based Clinical Research Network to perform patient-centered outcomes research consistent with the requirements of the pharmaceutical sector in a safe, ethical, and effective manner and congruent with the principles of Good Clinical Practice (GCP).

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References

  1. Selby JV, Beal AC, Frank L. The Patient-Centered Outcomes Research Institute (PCORI) national priorities for research and initial research agenda. JAMA. 2012;307(15):1583–1584.

    Article  CAS  Google Scholar 

  2. PCORI. Patient-centered outcomes research. https://www.pcori.org/what-we-do/pcor/. Accessed December 10, 2012

  3. Executive Office of the President, President’s Council of Advisors on Science and Technology. Realizing the Full Potential of Health Information Technology to Improve Health Care for Americans: The Path Forward. December 2010, p. 24.

  4. Oxford English Online Dictionary. https://oxforddictionaries.com/definition/english/centric. Accessed December 10, 2012.

  5. Collins English Dictionary. https://www.collinsdictionary.com/dictionary/english/centricity. Accessed December 10, 2012.

  6. Andre C, Velasquez M. For your own good. Santa Clara University, Ethics Home Page, Markkula Center for Applied Ethics. https://www.scu.edu/ethics/publications/iie/v4n2/owngood.html. Accessed December 10, 2012.

  7. Varolli Corp. Engaging the healthcare consumer 2012 survey results. https://interact.varolii.com/1211HCProviderSurvey_Fierce.html. Accessed December 10, 2012.

  8. Fisher ES. Building a medical neighborhood for the medical home. N Engl J Med. 2008;359(12):1202–1205.

    Article  CAS  Google Scholar 

  9. National Academy on an Aging Society. Health literacy fact sheet. https://agingsociety.org/agingsociety/publications/fact/fact_low.html. Accessed December 10, 2012.

  10. American Medical Association. Health literacy. https://www.ama-assn.org/ama/pub/about-ama/ama-foundation/our-programs/public-health/health-literacy-program.page. Accessed December 10, 2012.

  11. Medline Plus, US National Library of Medicine and National Institutes of Health. Health literacy. https://www.nlm.nih.gov/medlineplus/healthliteracy.html. Accessed December 10, 2012.

  12. Robbins DA. Ethical and Legal Issues in Home Health and Long Term Care. Gaithersburg, MD: Aspen; 1996.

    Google Scholar 

  13. Sox HC, Greenfield S. Comparative effectiveness research: a report from the Institute of Medicine. Ann Intern Med. 2009;151(3):203.

    Article  Google Scholar 

  14. Curro FA, Thompson VP, Naftolin F, et al. PBRN infrastructure design for institutional review board risk assessment and generalizability of clinical results. Drug Information Journal. August 31, 2012. doi:https://doi.org/10.1177/0092861512456284.

    Article  Google Scholar 

  15. US Food & Drug Administration. Guidance for Industry: patient-reported outcome measures: use in medical produce development to support labeling claims. https://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM193282.pdf. Accessed December 10, 2012.

  16. Robbins D, Brill JV. Medicare part D, healthcare literacy, and the consumer. Journal of Patient Safety and Quality Healthcare. 2005;2(4):42–43.

    Google Scholar 

  17. Green LA, Fryer GE, Yawn BP, Lanier D, Dovey SM. The ecology of medical care revisited. N Engl J Med. 2001;344:2021–2025.

    Article  CAS  Google Scholar 

  18. Smith KM, Romanelli F. Recreational use and misuse of phosphodiesterase 5 inhibitors. J Am Pharm Assoc (2003). 2005;45(1):63–72.

    Article  Google Scholar 

  19. Lowe G, Costabile RA. 10-Year analysis of adverse event reports to the Food and Drug Administration for phosphodiesterase type-5 inhibitors. J Sex Med. 2012;9(1):265–270.

    Article  Google Scholar 

  20. Robbins D, Brill J. Blending ethics and empowerment with consumer-driven healthcare. Journal of Patient Safety and Quality Healthcare. 2005;2(3):50–51.

    Google Scholar 

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Authors and Affiliations

  1. Integrated Decisions, Ethics, Alternatives and Solutions, Imperial Beach, CA, USA

    Dennis A. Robbins PhD, MPH

  2. PEARL Practice Based Research Network, New York University, New York, NY, USA

    Dennis A. Robbins PhD, MPH & Frederick A. Curro DMD, PhD

  3. Bluestone Center for Clinical Research, New York, NY, USA

    Frederick A. Curro DMD, PhD

  4. Department of Oral and Maxillofacial Pathology, Radiology and Medicine, New York University, New York, NY, USA

    Frederick A. Curro DMD, PhD

  5. Department of Family Medicine, University of Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY, USA

    Chester H. Fox MD

  6. Upstate New York Practice Research Network (UNYNET), New York, NY, USA

    Chester H. Fox MD

Authors
  1. Dennis A. Robbins PhD, MPH
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  2. Frederick A. Curro DMD, PhD
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  3. Chester H. Fox MD
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Corresponding author

Correspondence to Frederick A. Curro DMD, PhD.

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Robbins, D.A., Curro, F.A. & Fox, C.H. Defining Patient-Centricity: Opportunities, Challenges, and Implications for Clinical Care and Research. Ther Innov Regul Sci 47, 349–355 (2013). https://doi.org/10.1177/2168479013484159

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  • DOI: https://doi.org/10.1177/2168479013484159

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