The moral nature of patient-centeredness: Is it "just the right thing to do"?

Objective: Patient-centeredness is regarded as an important feature of high quality patient care, but little effort has been devoted to grounding patient-centeredness as an explicitly moral concept. We sought to describe the moral commitments that underlie patient-centered care. Methods: We analyzed the key ideas that are commonly described in the literature on patient-centeredness in the context of three major schools of ethical thought. Results: Consequentialist moral theories focus on the positive outcomes of providing patient-centered care. Deontological theories emphasize how patient-centered care reflects the ethical norms inherent in medicine, such as respect for persons and shared decision-making. Virtue-based theories highlight the importance of developing patient-centered attitudes and traits, which in turn influence physicians' behaviors toward their patients. Conclusion: Different ethical theories concentrate on different features of patient-centered care, but all can agree that patient-centeredness is morally valuable. Practice implications: In order to sustain patient-centeredness as a moral concept, practitioners and students ought to examine these ideas to determine what their own personal reasons are for or against adopting a patient-centered approach. (c) 2005 Elsevier Ireland Ltd. All rights reserved.