About
People-Centered Health
People-Centered Health
People-Centered health care focuses on the individual patient as a whole person, rather than just their medical condition. It recognizes that each patient has their own unique needs, preferences, and values, and that these factors should be taken into account when making decisions about their care.
Healthcare systems can be a cold and impersonal experience. People-Centered health care is a shift in thinking about how we provide care. It is about putting the patient at the center of their care and recognizing that they are the expert on their own health.
People-Centered health care can lead to reduced costs in the long run by preventing complications, reducing hospital admissions, and improving patient satisfaction.
“My goal is to build a practice in which medical care is provided in partnership with patients. I wholeheartedly believe patients should have an equal voice in their care. This requires a collaborative approach and a mindset where patients are not seen as a diagnosis, but rather as empowered individuals in a partnership of equals.”
Juan “Rick” Ramos Dominguez attended the University of Texas at San Antonio where he earned a Bachelor of Business Administration in Economics. While earning his BBA, Dr. Rick joined the U.S. Navy serving as a Hospital Corpsman. In this role he cared for Marine Corps personnel and conducted point-of-injury medical training for unit personnel, inspiring a career in medicine.
Dr. Rick continued his studies, simultaneously earning a Master of Public Health from UT Health Houston School of Public Health and a Doctor of Medicine from the University of Texas School of Medicine at San Antonio.
He completed his residency in Family Medicine and subsequently returned to Active Duty serving in various medical, leadership, and advisory roles – including joint executive medical oversight of two NATO forward operating bases.
Dr. Sara Pastoor is an expert physician and healthcare executive with over 25 years of experience in medicine. She holds a medical degree from the Rosalind Franklin School of Medicine and completed her residency in family medicine at Baylor College of Medicine. She is board certified by the American Board of Family Medicine and is a Fellow of the American Academy of Family Physicians. Dr. Pastoor spent the first 15 years of her career in the Army Medical Department, serving in various leadership roles and retiring at the rank of colonel in 2013. She also holds a BA in Psychology from Oakland University and a Masters in Health Administration from Trinity University.
Dr. Pastoor served as the inaugural Director for UT Health’s Primary Care Center in San Antonio, leading patient-centered transformation and primary care expansion in the academic setting. Following this, she served as Medical Director for an innovative primary care platform supporting H-E-B employees and their dependents. Throughout her career, Dr. Pastoor has focused her passion on patient-centered care delivered by a multidisciplinary team informed by science-based methodologies and the latest research.
An accomplished primary care champion, Dr. Pastoor is recognized for her leadership in patient-centered workflows, EHR optimization, and health system transformation. She has written and spoken prolifically on the topic of membership-based primary care and is passionate about the power of the physician-patient relationship and its crucial role in delivering effective healthcare.
Dr. Pastoor is dedicated to service and frequently volunteers with Corazon Ministries at their homeless clinic in downtown San Antonio. She has participated in numerous medical service trips abroad and remains in the Army’s retired reserves. She is a mother to three wonderful daughters and a surrogate mother and mentor to many. Dr. Pastoor is delighted to be part of the People-Centered Health team and continue to serve her San Antonio community.
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