Original ArticlesDiscussion of Patient-Centered Care in Health Care OrganizationsFredericks, Suzanne PhD, RN; Lapum, Jennifer PhD, RN; Schwind, Jasna PhD, RN; Beanlands, Heather PhD, RN; Romaniuk, Daria PhD, RN; McCay, Elizabeth PhD, RNAuthor Information Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada. Correspondence: Suzanne Fredericks, PhD, RN, Daphne Cockwell School of Nursing, Ryerson University, 350 Victoria St, Toronto, ON M5B 2K3, Canada ([email protected]). Financial support was received from the Daphne Cockwell School of Nursing Research Cluster Fund. The authors thank Mss Kateryna Aksenchuk and Vanessa Kirunda for their ongoing assistance throughout the drafting of the manuscript. The authors declare no conflicts of interest. Quality Management in Health Care: July/September 2012 - Volume 21 - Issue 3 - p 127-134 doi: 10.1097/QMH.0b013e31825e870d Buy Metrics Abstract The tradition of inherent knowledge and power of health care providers stands in stark contrast to the principles of self-determination and patient participation in patient-centered care. At the organizational level, patient-centered care is a merging of patient education, self-care, and evidence-based models of practice and consists of 4 broad domains of intervention including communication, partnerships, health promotion, and physical care. As a result of the unexamined discourse of knowledge and power in health care, the possibilities of patient-centered care have not been fully achieved. In this article, we used a critical social theory lens to examine the discursive influence of power upon the integration of patient-centered care into health care organizations. We begin with an overview of patient-centered care, followed by a discussion of the various ways that it has been introduced into health care organizations. We proceed by deconstructing the inherent power and knowledge of health care providers and shed light on how these long-standing traditions have impeded the integration of patient-centered care. We conclude with a discussion of viable solutions that can be used to implement patient-centered care into health care organizations. This article presents a perspective through which the integration of patient-centered care into health organizations can be examined. ©2012Lippincott Williams & Wilkins, Inc.