2025, Vol. 16, No. 3. - go to content...

Permanent address of this page - https://sfk-mn.ru/en/02scsk325.html

Метаданные этой статьи так же доступны на русском языке

DOI: 10.15862/02SCSK325 (https://doi.org/10.15862/02SCSK325)

Full article in PDF format (file size: 381.7 KB)

For citation:

Starkova S.A., Leskova I.V., Zyazin S.Yu. [Patient-centric in healthcare transformation] World of Science. Series: Sociology, Philology, Cultural Studies, 2025, Vol. 16, No. 3. Available at: https://sfk-mn.ru/PDF/02SCSK325.pdf (in Russian). DOI: 10.15862/02SCSK325

Patient-centric in healthcare transformation

Starkova Svetlana Alexandrovna
Kursk City Polyclinic No. 5, Kursk, Russia

Leskova Irina Valeryevna
Federal State University of Education, Moscow, Russia
Financial University under the Government of the Russian Federation, Moscow, Russia
E-mail: leskova.i@yandex.ru
ORCID: https://orcid.org/0000-0001-6083-6692
RSCI: https://elibrary.ru/author_profile.asp?id=510760
WoS: https://www.webofscience.com/wos/author/rid/AAC-8948-2020
SCOPUS: https://www.scopus.com/authid/detail.url?authorId=56610215200
Google Scholar: https://scholar.google.ru/citations?user=BfYOFYMAAAAJ

Zyazin Sergey Yuryevich
Federal State University of Education, Moscow, Russia
Foundation for the Rehabilitation and Resocialization of the Civilian Population «SVOI», Moscow, Russia

Abstract. The article is devoted to the analysis of the transition from a paternalistic model of interaction in health care, where the doctor acts as the only authority, to patient-centric, based on the active participation of the patient, taking into account his values, emotional state and social context. The relevance of the study is due to the growing expectations of patients, the digital transformation of healthcare and the low level of satisfaction with the quality of medical care in Russia, which is confirmed by the data. Historical origins of the concept include Carl Rogers’ client-oriented therapy (1940s–1950s) and George Engel’s biopsychosocial model. The latter emphasizes a holistic approach to personality, taking into account biological, psychological and social factors. Special attention is paid to the institutionalization of the principles of the World Health Organization in the 1990s, which enshrined the patient’s right to informed choice. The practical implementation of patient centeredness is considered through the prism of joint decision-making (SDM), the implementation of Lean Healthcare methodology («Lean Polyclinic») and digital tools (electronic medical records (EHR), telemedicine and artificial intelligence). The data of surveys of doctors and patients in Moscow are given; the role of telemedicine in remote regions is emphasized, but also the risks of digital inequality and dehumanization of interaction. The article highlights the barriers to implementing a patient-centric approach: the known resistance of healthcare professionals associated with high workload, lack of SDM skills, and low patient awareness. The author emphasizes that patient centeredness requires a transformation of organizational culture, improved communication skills of doctors and patient engagement. It emphasizes the need to move to a human-centered approach that takes into account the interests of all participants in the system, including the fight against physician burnout, inclusiveness and the ethics of technology. In conclusion, the conditions for sustainable transformation are proposed: systemic changes (education, wages), the balance of digitalization and empathy, public education, etc. The article emphasizes that successful practices («Lean Clinics», Unified Digital Platform) prove the possibility of evolution of the system when combining the efforts of the state, doctors and patients.

Keywords: patient-centric; human-centric; collaborative decision-making; biopsychosocial model; digitalization of healthcare; Lean Healthcare; physician burnout

Download article in PDF format