Intended for healthcare professionals


Patient and family engaged care—going beyond tactical buzzwords

BMJ 2017; 356 doi: (Published 08 March 2017) Cite this as: BMJ 2017;356:j1155
  1. Summer V Allen, Southeast Minnesota medical director for patient experience1,
  2. Kerri Sparling, patient advocate andboard member2 3,
  3. Victor M Montori, chair of the board3
  1. 1Mayo Clinic, Rochester, Minnesota, USA
  3. 3The Patient Revolution
  1. Correspondence to: V Montori victor{at}

Aim for better care, not simply more engagement

A scientific advisory panel convened by the National Academy of Medicine in the US has released a new framework for building and sustaining patient and family engaged care (PFEC).1 It described PFEC as “care planned, delivered, managed, and continuously improved in active partnership with patients and their families (or care partners as defined by the patient) to ensure integration of their health and healthcare goals, preferences, and values. It includes explicit and partnered determination of goals and care options, and it requires ongoing assessment of the care match with patient goals.”

PFEC should influence clinical decisions and policy making about the organisation and delivery of care, from the clinical encounter to the boardroom. The authors expect the framework to lower costs and to guide and catalyse collaborative actions to improve healthcare culture, care, and health outcomes. But this useful, hopeful, and potentially seminal report raises some concerns that give us, activists for engaged patient centred care, some pause.

The framework …

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