Third, services designed to prevent disease, enhance recovery, promote health, and build resilience are expanded (item 3 in the Figure). Second, a trusted team, led by a trained health advocate, helps implement the patient’s PHP by coordinating and integrating mental health services, behavioral change, and self-care support (item 2 in the Figure), ensuring that care is grounded in a proactive, continuous relationship between the patient and the care team.

The PHP’s central feature is person centered in that it explores what matters most in the person’s life and then aligns medical and nonpharmacologic treatments, self-care support, and community services with that plan (item 1 in the Figure). How does it work?įirst, clinicians work with every patient to create a personal health plan (PHP). The model describes the specific roles, services, and workforce needed to implement this type of care. An emphasis on person-centered care and relationships with patients are the distinguishing characteristics of the model and the features most likely to enhance population health and lower costs. The framework rebalances our current disease-focused approach with one that is person centered, relationship based, and recovery focused. CIH indicates complementary and integrative health HOPE, healing-oriented practices and environments SOAP, subjective, objective, assessment, and plan. Numbers in the figure illustrate the locations from which each component is delivered. The Two-Circle Model of Whole-Person Care reframes the current disease-focused, transaction-based, treatment model with a person-centered, relationship-based, health promotion and recovery model. 7 We need to fundamentally redesign how care is provided so we can create health at lower cost. 4 - 6 The COVID-19 pandemic has further exacerbated these long-standing challenges, highlighting the increasing need for social and mental health services. The current model of health care delivery has contributed to a relentless rise in medical costs, widening health disparities, growing dissatisfaction of patients, and burnout among clinicians. This is reflected in declining life expectancy in the US, which has dramatically accelerated during the COVID-19 pandemic. 2 These factors not only enable or inhibit an individual’s ability to engage in healthy behaviors but also influence their ability to obtain effective medical care and pursue a meaningful life. These are mental health, behavioral and lifestyle factors, and the social and economic environment in which a person lives. Nearly 80% comes from other factors rarely addressed by health care systems. Only 15% to 20% of health-be it for an individual or a population-comes from health care. Health care in the US as currently designed is not producing health, and neither will more of it.

Shared Decision Making and Communication.

Scientific Discovery and the Future of Medicine.

Health Care Economics, Insurance, Payment.

Clinical Implications of Basic Neuroscience.

Challenges in Clinical Electrocardiography.

Whole person care quadruple aim