Skip to main content


You Say 'Patient-Centered Care.' He Says It's Not Enough.

By Tinker Ready  
   July 20, 2017

"Collaborative healthcare" describes the necessary shift away from "pseudo patient-centeredness," says an advocate for patients.

"Collaborative healthcare," says writer, consultant, and patient advocate Michael L. Millenson, is "a shifting constellation of collaborations for sickness care that is shaped by people based on their life circumstances."

Writing in the BMJ, he argues that as patients gain more control and seek out non-traditional sources of care, providers will have to be less paternalistic. That means being part of, but not always the center of "a well-being and care relationship."

Millenson spoke with HealthLeaders Media recently about how the concept of collaborative care will help physicians, hospitals, and health systems respond and offer true patient-centered care. The transcript below has been lightly edited.

HLM: Where did the concept of collaborative health come from?

Millenson: I've been going to Health 2.0 meetings for many years. I could see the rise of Internet and participatory medicine, as well as concerns about the social determinants of health.

Yet, they were treated as different phenomena. So, I started to think there was a common theme here that has to do with a loss of control by the profession and the entrance of non-medical actors.


  • 1

Tinker Ready is a contributing writer at HealthLeaders Media.

Get the latest on healthcare leadership in your inbox.