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Analysis of the Final WHCCAMP
[The IOM report did not discuss
"CAM" practices. The Commission probably included
this appendix to try to make "CAM" look more respectable
-- Stephen Barrett, MD]
- Care based on continuous healing relationships. Patients
should receive care whenever they need it and in many forms,
not just face-to-face visits. This rule implies that the health
care system should be responsive at all times (24 hours a day,
every day) and that access to care should be provided over the
internet, by telephone, and by other means in addition to face-to-face
- Customization based on patient needs and values. The
system of care should be designed to meet the most common types
of needs but have the capability to respond to individual patient
choices and preferences.
- The patient as the source of control. Patients should
be given the necessary information and the opportunity to exercise
the degree of control they choose over health care decisions
that affect them. The health system should be able to accommodate
differences in patient preferences and encourage shared decisionmaking.
- Shared knowledge and the free flow of information.
Patients should have unfettered access to their own medical information
and to clinical knowledge. Clinicians and patients should communicate
effectively and share information.
- Evidence-based decision making. Patients should receive
care based on the best available scientific knowledge. Care should
not vary illogically from clinician to clinician or from place
- Safety as a system property. Patients should be safe
from injury caused by the care system. Reducing risk and ensuring
safety require greater attention to systems that help prevent
and mitigate errors.
- The need for transparency. The health care system
should make available to patients and their families information
that allows them to make informed decisions when selecting a
health plan, hospital, or clinical practice or when choosing
among alternative treatments. This should include information
describing the system's performance on safety, evidence-based
practice, and patient satisfaction.
- Anticipation of needs. The health system should anticipate
patient needs rather than simply reacting to events.
- Continuous decrease in waste. The health system should
not waste resources or patient time.
- Cooperation among clinicians. Clinicians and institutions
should actively collaborate and communicate to ensure an appropriate
exchange of information and coordination of care.
28 Focus Areas of Healthy People 2010
WHCCAMP Analysis Index ||| NCAHF Home Page
This article was posted on March 29
- Access to Quality Health Services
- Arthritis, Osteoporosis, and Chronic Back Conditions
- Chronic Kidney Disease
- Disability and Secondary Conditions
- Educational and Community-Based Programs
- Environmental Health
- Family Planning
- Food Safety
- Health Communication
- Heart Disease and Stroke
- Immunization and Infectious Diseases
- Injury and Violence Prevention
- Maternal, Infant, and Child Health
- Medical Product Safety
- Mental Health and Mental Disorders
- Nutrition and Overweight
- Occupational Safety and Health
- Oral Health
- Physical Activity and Fitness
- Public Health Infrastructure
- Respiratory Diseases
- Sexually Transmitted Diseases
- Substance Abuse
- Tobacco Use
- Vision and Hearing