Universität zu Köln

Ansmann, Lena ORCID: 0000-0002-8628-7166 and Pfaff, Holger ORCID: 0000-0001-9154-6575 (2018). Providers and Patients Caught Between Standardization and Individualization: Individualized Standardization as a Solution. Int. J. Health Policy Manag., 7 (4). S. 349 - 353. KERMAN: KERMAN UNIV MEDICAL SCIENCES. ISSN 2322-5939

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Abstract

In their 2017 article, Mannion and Exworthy provide a thoughtful and theory-based analysis of two parallel trends in modern healthcare systems and their competing and conflicting logics: standardization and customization. This commentary further discusses the challenge of treatment decision-making in times of evidence-based medicine (EBM), shared decision-making and personalized medicine. From the perspective of systems theory, we propose the concept of individualized standardization as a solution to the problem. According to this concept, standardization is conceptualized as a guiding framework leaving room for individualization in the patient physician interaction. The theoretical background is the concept of context management according to systems theory. Moreover, the comment suggests multidisciplinary teams as a possible solution for the integration of standardization and individualization, using the example of multidisciplinary tumor conferences and highlighting its limitations. The comment also supports the authors' statement of the patient as co-producer and introduces the idea that the competing logics of standardization and individualization are a matter of perspective on macro, meso and micro levels.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ansmann, Lena UNSPECIFIED orcid.org/0000-0002-8628-7166 UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-190527
DOI:	10.15171/ijhpm.2017.95
Journal or Publication Title:	Int. J. Health Policy Manag.
Volume:	7
Number:	4
Page Range:	S. 349 - 353
Date:	2018
Publisher:	KERMAN UNIV MEDICAL SCIENCES
Place of Publication:	KERMAN
ISSN:	2322-5939
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MULTIDISCIPLINARY CANCER TEAMS; SHARED DECISION-MAKING; QUALITY-OF-CARE; PERSONALIZED MEDICINE; HEALTH; MANAGEMENT; CHALLENGE; ATTITUDES Multiple languages Health Care Sciences & Services; Health Policy & Services Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/19052