TY - JOUR T1 - Making care fit manifesto JF - BMJ Evidence-Based Medicine JO - BMJ EBM SP - 5 LP - 6 DO - 10.1136/bmjebm-2021-111871 VL - 28 IS - 1 AU - Marleen Kunneman AU - Ingeborg P M Griffioen AU - Nanon H M Labrie AU - Maria Kristiansen AU - Victor M Montori AU - Mara M van Beusekom A2 - , Y1 - 2023/02/01 UR - http://ebm.bmj.com/content/28/1/5.abstract N2 - For too many people, their care plans are designed without fully accounting for who they are, the lives they live, what matters to them or what they aspire to achieve. In other words, these care plans are designed for ‘patients like this’ rather than for ‘this patient’. To improve this situation, investigators often propose interventions, such as patient decision aids or patient-reported experience measures, which may disrupt clinical practice and increase the work patients must do. These interventions ‘target’ patients, or rather the images, biomarkers, or numbers that represent their disease, rather than the person behind their patient role. Success becomes getting patients to use the interventions or to report high experience scores as they become overwhelmed by the work of accessing and using healthcare while completing self-care tasks.Designing care that fits individual patients, requires patients (their loved ones) and clinicians to work together. For them to appreciate the situation of the patient, beyond its biology, and to respond to this situation by cocreating plans of work that make sense. This work of making care fit takes place mostly during clinical encounters at the point of care. As patients implement the plans in their personal environment, they work to make care fit at the point of life. The patient is usually the one person bridging … ER -