The Eight Picker Principles of Patient-Centered Care originated with the Seven Dimensions of Patient-Centered Care, whose development was traced in the 1993 groundbreaking book Through the Patient’s Eyes. Using a wide range of focus groups - recently discharged patients, family members, physicians and non-physician hospital staff - combined with a review of pertinent literature, researchers from Harvard Medical School, on behalf of Picker Institute and The Commonwealth Fund, defined seven primary dimensions of patient-centered care.

These were:

  • Respect for patients’ values, preferences and expressed needs
  • Coordination and integration of care
  • Information, communication and education
  • Physical comfort
  • Emotional support and alleviation of fear and anxiety
  • Involvement of family and friends
  • Transition and continuity

When these were renamed the Picker Principles of Patient-Centered Care in 1987, an eighth was added, Access to care.

Please click here to see a short video presentation on each principle.

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