Patient-centered care in medicine and surgery: guidelines for achieving patient-centered subspecialty care.

Patient-centered care is based on the principle that equality between physician and patient is mutually advantageous. This model of care recently has largely supplanted the historical paternalistic model of the physician-patient relationship. Patient-centered care differs from the disease-centered model of evidence-based medicine, but the two are not mutually exclusive. Patient-centered care has 5 core components: the biopsychosocial perspective, the patient as person, sharing power and responsibility, the therapeutic alliance, and the doctor as person. This article explores these components, explains the differences between patient-centered care and evidence-based medicine, and offers guidelines for achieving patient-centered subspecialty care in hand surgery.