Patient-Centered Care Systems: A View From Chronic Illness | Candy Gan | TEDxKingstonUponThamesSalon

Accountability doesn’t entail personal responsibility. Chronic illnesses show us the difficulty of living with, but not necessarily owning, your disease. How would the separation of these concepts change the doctor/patient relationship? It is imperative we need to consider this, in the face of increasing patient empowerment. Candy Gan is a continuing student at the LSE for the MSc. Global Health. She is from Singapore but grew up in Shanghai, and has lived with Type 1 Diabetes her entire life. In March, she spoke about this at TEDxLSE. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at www.ted.com/tedx

[@murfbass]

Very well organized and articulated message. Thanks Candy. This is not a new concept in social work but I'm surprised how radical it still is in the medical field.

[@user-di8bi7pn2s]

Candy Gan is a young lady who has lived with Type 1 diabetes. Through her experience, she speaks to the value of patient autonomy. This idea of autonomy means that patients are given the freedom to choose freely, where they are able. Candy outlined it best when she defined the current healthcare system as doctor vs patient rather than doctor and patient vs disease. The healthcare system that currently exists is not empowering patients and showing them that they are not their disease. Empowerment allows for the patient to feel as if they have some control over what life has thrown at them and as Candy stated, “it does not mean that the patient is always right.” To ask that physicians shift to patient-centered model and empower their patients is only reiterating the enforcement of the ethical principle of autonomy. Too often, I feel that doctors get this ego from the position of power that they are in and forget that successful medicine comes through a team-based model, and part of that team includes the patient. I agree with Candy when she says that patient and caregivers are more motivated to take care of themselves if they are part of the decision-making process. It is part of human nature that people are more likely to do something if they are doing it for themselves vs being told to do it by another individual. Healthcare needs to be about the patient, not the disease and by shifting to this outlook, patient outcomes will improve. Patients are individuals and treatments must be individualized too. Autonomy in healthcare cannot be forgotten, we must find better ways to shift back towards a patient-centered model as this is in the best interest for the patient and the physician-patient relationship.

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[@JUSSTTIINFU3K]

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[@originterran]

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