Person-centered care planning for people living with or at risk for multiple chronic conditions

Person-centered care planning for people living with or at risk for multiple chronic conditions
JAMA Network Open; Brittany N. Watson, MD, MPH; Lilly Estenson, MSW; Aimee R. Eden, PhD, MPH; Maya T. Gerstein, DrPH; Maria Torroella Carney, MD; Vonetta M. Dotson, PhD; Trisha Milnes, AuD, MHA; Arlene S. Bierman, MD, MS; 10/24
This qualitative study identified 9 themes for strategies for, as well as facilitators and barriers to implementation of PCCP [person-centered care planning]: (1) suboptimal quality of care; (2) person-centered, goal-concordant care; (3) multidisciplinary team–based care and care coordination; (4) prevention across the life course; (5) digital health solutions; (6) workflow; (7) education and self-management support; (8) payment; and (9) achieving community, health system, and payer goals. These themes identified reforms needed and components of care delivery models to support PCCP.