Which element is not part of the Institute of Medicine's definition of patient-centered care?

The element that is not part of the Institute of Medicine's definition of patient-centered care is the notion that patients and families should make all decisions. In patient-centered care, the role of the patient is definitely one of participation in decision-making; however, it does not imply that they alone make all the decisions. Instead, patient-centered care emphasizes a partnership between healthcare practitioners and patients, where the needs and preferences of the patient are respected and taken into account, but practitioners provide the necessary expertise and guidance.

The focus of patient-centered care is on collaboration, meaning that while patients are encouraged to voice their preferences and be active participants, the healthcare team is still responsible for recommending appropriate courses of action based on clinical knowledge and experience. This collaborative model ensures that decisions are made with both the patient's views and medical considerations in mind, promoting a balanced and informed approach to care.

In contrast, the other elements highlight essential components of patient-centered care: establishing partnerships, ensuring adequate education and support, and respecting patients' desires and needs. These principles collectively enhance the overall patient experience and health outcomes.