Traditionally, hospital medicine services have been dominated by the physician and hospital team, with significant barriers to patient- and family-centered care. This article offers principles and associated strategies to reduce those barriers and guide implementation of systemically informed, collaborative, and culturally responsive patient- and family-centered care provided by hospitalist care teams, especially regarding collaborative decision-making for treatment and discharge planning. Such an approach is associated with reduced lengths of stay and hospital costs and lowered rates of medical errors and mortality. It also is linked to improved patient and family cooperation and adherence; enhanced quality of care and clinical outcomes; and increased levels of satisfaction among health care professionals, patients, and families. Such care uses resources wisely and is effective and ethical. We hope articulating and illustrating these principles and strategies will facilitate efforts to shift the health care culture from being physician-centered to truly team-, patient-, and family-centered. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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针对住院患者的以患者和家庭为中心的协作式护理：医院护理团队的最佳做法。

传统上，医院医学服务一直由医师和医院团队主导，这严重阻碍了以患者和家庭为中心的护理。本文提供了减少这些障碍的原则和相关策略，并指导了由医院护理团队提供的以系统为基础的，协作的，具有文化响应性的以患者和家庭为中心的护理的实施，尤其是在治疗和出院计划的协作决策方面。这种方法与缩短住院时间和降低医院费用以及降低医疗失误和死亡率有关。它还与改善患者和家庭的合作与依从性有关；提高护理质量和临床结果；以及提高医疗保健专业人员，患者和家庭的满意度。此类护理明智地使用了资源，并且是有效且合乎道德的。我们希望阐明和说明这些原则和策略将有助于努力将医疗保健文化从以医生为中心转变为真正以团队，患者和家庭为中心。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。