Harvard T. Chan School of Public Health, Boston, released a much-anticipated manifesto in JAMA on April 2, 2019 that dramatically shifts the philosophy of patient care from an “absence of disease or infirmity” to a concept that embraces whole-person care and patient well-being. This important paradigm change that “reimagines health” is a concept that is not new to integrative health. It respects patients’ desires to grow and feel satisfied with their health and subsequent quality-of-life.
Author Howard, K. Koh, MD, MPH defines this as a flourish index, which includes six domains of patient wellness: 1: happiness and life satisfaction, 2. physical and mental health, 3. meaning and purpose, 4. character and virtue, 5. close social relationships, and 6. financial and material security.
Dr. Koh writes: “Measurement of flourishing makes possible weighing the effects of different treatment decisions not only on physical and mental health, but in the full context of what matters in a person’s life. While this makes treatment decisions more complex, it lies at the heart of patient-centered care.”