TY - JOUR AU - D. Berwick A1 - AB - "Patient-centeredness" is a dimension of health care quality in its own right, not just because of its connection with other desired aims, like safety and effectiveness. Its proper incorporation into new health care designs will involve some radical, unfamiliar, and disruptive shifts in control and power, out of the hands of those who give care and into the hands of those who receive it. Such a consumerist view of the quality of care, itself, has important differences from the more classical, professionally dominated definitions of "quality." New designs, like the so-called medical home, should incorporate that change. BT - Health Affairs C5 - Medical Home CP - 4 DO - 10.1377/hlthaff.28.4.w555 IS - 4 JF - Health Affairs N2 - "Patient-centeredness" is a dimension of health care quality in its own right, not just because of its connection with other desired aims, like safety and effectiveness. Its proper incorporation into new health care designs will involve some radical, unfamiliar, and disruptive shifts in control and power, out of the hands of those who give care and into the hands of those who receive it. Such a consumerist view of the quality of care, itself, has important differences from the more classical, professionally dominated definitions of "quality." New designs, like the so-called medical home, should incorporate that change. PY - 2009 T1 - What "patient-centered" should mean: Confessions of an extremist T2 - Health Affairs TI - What "patient-centered" should mean: Confessions of an extremist U1 - Medical Home U2 - 19454528 U3 - 10.1377/hlthaff.28.4.w555 VL - 28 Y1 - 2009 ER -