The Patient-centered, Family-focused and Communityoriented (PFC) Matrix: A toolkit for biopsychosocial approach in primary care
- Author:
Zorayda E. Leopando
1
;
Leilanie A. Nicodemus
1
;
Anna Guia O. Limpoco
1
;
Ma. Elinore A. Concha
2
Author Information
- Publication Type:Other Types
- Keywords: Biopsychosocial approach; Family medicine; Family-focused care; Community-oriented care
- MeSH: Patient-Centered Care; Humans; Physicians, Family; Family Practice; Family Support; Counseling
- From: The Filipino Family Physician 2019;57(1):26-32
- CountryPhilippines
- Language:English
- Abstract: Biopsychosocial (BPS) approach to care is essential in family practice. Teaching this approach in family medicine is usually highlighted in family case presentations and counseling sessions. Little is done in showing how the biopsychosocial approach can be used in the day to day family practice. This article discusses the development of a learning tool called the PFC matrix which is a patient-centered, family-focused and community-oriented approach to care for individual patients and their families. The patient-centered care utilizes understanding of the interplay of biomedical psychosocial factors disease in order to implement management that is tailor-fitted to the needs and values of the patient. The family-focused component of the matrix utilizes family assessment to generate assumptions on how the family dynamics affect or facilitate the prescribed management of the patient’s disease. Lastly, the community-oriented component enables the family physician to use social determinants of health and health systems as a lens to understand how larger systems support or hinder the provision of care. Through the use of this matrix, the family physician is able to manage the patient in a holistic manner by recognizing patient needs, creating an enabling family support environment and helping the patient and family navigate various community resources. This results not only in optimal health for the patient but impacts to create a more responsive health system. In the future, further documentation of the use of the PFC matrix particularly in primary care in the light of universal health care and how it impacts on outcomes and how it connects patients and families at the correct tiers of the health system.
- Full text:PAFP-Journal-2019-1-30-36.pdf
