Table 1 Person-Centered Care Model: Three Key Players and Their Roles and Functions
ACTION | Person or Primary Caretaker | Provider – Coach | Care Designer |
|---|---|---|---|
Lean Examine | Learn about his or her oral health status during the initial exam and periodic follow-up, which could take place outside a dental office or by a non-dentist member of the treatment team | Learn about the person’s oral health and medical health as supported by examination and medical records | Learn and examine current person-centered care models in both dental and non-dental healthcare fields |
Relate Share | Relate their oral health and general health | Relate oral health with other medical conditions Share findings and interconnections between oral health and overall health with the person and other healthcare providers as necessary | Relate those successful approaches to revise and expand its operations and services to achieve its mission Share opportunities and new findings internally |
Plan Design | Plan for preventive intervention, definitive treatment, behavior modification and lifestyle changes with providers | Plan for preventive interventions, definitive treatments, and behavior modifications that the person agrees upon | Design or redesign a system of care to improve health outcomes, reduce cost of care, and increase satisfaction of the care experience for both patient and providers [35] Design financial incentives and alternative payment designs that reflect evidence-based dental practice and knowledge. |
Act Provide Track Evaluate | Act upon the agreed plan | Provide preventive interventions, definitive treatments, and behavior modifications that the person agrees upon, using available tools, techniques and clinical support; Track and Evaluate the progress of the person’s adherence to the agreed plan | Implement a designed system of care. Track the progress of implemented system designs Evaluate progress and outcomes |
Revise | Revise the plan and adjust as necessary to achieve meaningful yet practical goals in consultation with his/her provider. | Revise the plan together with the person to achieve the set goals. | Revise the design of the care system by incorporating the voices of persons and providers, as well as analyzes, shares and applies any emerging knowledge gleaned. |