Our hospital has always set up the service concept of “all patient-centered”, adhering to the purpose of “respect for life, care for health”, through continuous exploration and efforts, medical and nursing staff with superb technology, quality service by patients and the community’s high degree of trust and praise. The medical staff has been highly trusted and praised by patients and the society for its excellent technology and quality service. But what is the real connotation of “all patient-centered”, I feel deeply after listening to Professor Wu’s lecture. Patient-centeredness, in fact, does not exclude the subjectivity and dominance of doctors, and this subjectivity and dominance precisely highlights the capital responsibility of a doctor. It is the materialization of human-centered principle in the field of health and medical treatment. The basic point and starting point of “patient-centeredness” is to advocate and require doctors to try to enter the world of patients, and to understand and treat diseases with patients’ eyes. “Patient-centered” service model 1. Understanding the patient Understanding the patient with a holistic approach. The patient is an indivisible whole person, not equal to the simple addition of body, spirit and society. To understand a complete person, one must understand his complete background and relationship, the nature and function of each part that constitutes him, and finally the interrelationships, interactions, and outcomes among the body, spirit, and society. The patient has feelings and needs, and the nature of the doctor’s profession determines that his task is to protect and save human life. As a special group of people, patients also have many special emotional needs, and emotional support is an effective driving force for patient recovery. Patients have the same dignity and rights as doctors. Doctors often play the role of authority and decision-maker, which makes it impossible for patients to interact with doctors on an equal footing, and the dignity and rights of patients cannot be duly respected. Only by becoming friends with patients, having equal interactions, and establishing an equal relationship of mutual respect and mutual concern can the dignity and rights of patients be fully respected. Only by fully mobilizing the patient’s own recovery potential. Therefore, the doctor’s should give play to the patient’s subjective initiative through education, counseling and help, so that the patient can become a person who can effectively solve his or her own problems. Each patient has a tendency to individualization, each patient’s problem is different, because each patient and his environment are not the same, the same disease in different patients will have a different response and meaning, so the care of each patient should be completely individualized. 2. Understanding the patient’s role The social role of a person who is in a state of illness and has the behavior of seeking medical treatment and treatment. When a person becomes ill, his identity and role in society begins to change and he will exhibit behaviors that are consistent with that role. 3. Understand the complete background of the patient’s medical care The complete background of the patient includes social background, community background, family background, and personal background. To fully understand these background information, can never be completed in a visit, the need for continuous service in the continuous accumulation; to establish a friendship with the patient in order to continue to deepen, comprehensive to understand the background. 4, understand the patient’s expectations of the doctor The patient is with the doctor’s expectations to the clinic, the patient’s degree of satisfaction with medical care depends on the doctor to meet the patient’s expectations of the degree of satisfaction, but often the higher the patient’s expectations, the more likely to produce dissatisfaction. 5, understand the patient’s needs Human needs are hierarchical, from low level to high level, can be divided into five levels: namely, physiological needs, safety needs, the need to belong to the need for love, self-esteem, self-actualization needs. The more low-level needs tend to be more intense, and high-level needs once formed and can override other low-level needs. Doctors should understand the patient’s view of disease causation and health belief patterns Disease causation refers to the patient’s view of the cause and effect of their own disease, which is the patient’s theoretical basis for interpreting their own health problems, which is affected by factors such as personal culture, personality, family, religion and social background. During the consultation, patients often narrate their medical history according to their causal view of disease, often emphasizing the clues that support their causal view of disease and ignoring other clues. Health belief patterns are people’s values about their own health, reflecting how much they care about their own health. The health belief model influences people’s adherence to medical advice, the degree of cooperation between patients and their physicians, and also the degree of anxiety and the way patients react to their illnesses. The content of “patient-centered” services The content of “patient-centered” services should include two parts, one is the service for the patient’s health problems, and the other is the service for the patient as a whole person, which is the main aspect of the patient-centered service model different from the disease-centered service model. The latter is the main aspect of the patient-centered service model different from the disease-centered service model. Specific performance should be: 1, attentive listening, open guidance attentively listen to the patient to express the acceptance of the doctor to the patient and care. Speaking to the patient is a kind of cathartic behavior, with relaxation and psychotherapeutic effects. Open-ended guidance generally involves: the natural course of the health problem; the scope of the problem; the patient’s view of the cause and effect of the disease and health belief patterns; the patient’s expectations of the doctor or the patient’s needs. Understanding the patient’s symptoms and experience The doctor must first accept the patient’s subjective symptoms and experience statement, so that the patient feels that the doctor will consider and take each of his problems seriously. 3, the patient to do a detailed explanation and education The patient’s dissatisfaction sometimes comes from their own problems and treatment programs and treatment process of confusion, the doctor has the responsibility to make a detailed explanation of the patient does not establish a correct view of the cause and effect of the disease and health beliefs of the patient to carry out the necessary education. 4, let the patient act as a decision-maker The doctor’s job is to improve the patient’s ability to heal naturally and eliminate factors that hinder healing. Let the patient act as the decision maker in the process of solving his/her own health problems, including letting the patient understand his/her own health problems, letting the patient choose the best treatment plan, letting the patient determine the best health goal, letting the patient take the appropriate responsibility himself/herself, and ultimately, giving full play to the patient’s initiative to improve the patient’s natural healing ability. Make full use of all kinds of resources to provide comprehensive support and help for patients Fully understand the status of all kinds of available resources, and adopt the “patient-centered” clinical approach to provide patients with multifaceted support and help, so that the patient can recover successfully as a whole person, not just as a “disease” to be treated. The patient is cured as a whole person, not just as a “disease” or relieved of a “symptom”.