Patient-Centered Medicine: Transforming the Clinical Method / Edition 1

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Overview

The evolution of attitudes and roles in society is reflected in many facets of our lives: In the medical community, these changes are most evident in the shifting relationship between doctor and patient. Confronted with the demand for more egalitarian approaches to health care, physicians may find themselves ill prepared to accept - and participate in - this redefinition of traditional medical practice. In Patient-Centered Medicine, the authors present a six-component model to assist health practitioners in expanding and strengthening their relationships with patients. Thoughtful discussions and case studies present topics as diverse as conceptualizations of ill health, consideration of the patient as an individual, the establishment of goals and cooperative strategy between physician and patient, and the realistic allocation of time, energy, and other resources of the health care provider. Emphasizing a holistic philosophy, the work encourages physicians to surpass treatment based strictly on a one-dimensional, biomedical assessment of their patients - and achieve greater results. Professionals and advanced students in all health care fields will appreciate this illuminating and provocative volume.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Jane E. Corboy, MD (Baylor College of Medicine)
Description: This book is a concise description of a patient-centered model of patient-physician communication, written for clinicians, educators, and researchers. There are six key elements in the authors' model, each of which is illustrated by one or more clinical vignettes.
Purpose: The purpose is to describe and explore a model of physician-patient communication that emphasizes patients' needs rather than the traditional medical model. There is an emphasis on the theoretical basis of the model, for the purpose of education and research on patient-centered medicine. The authors clearly achieve the objective of describing and explaning of their model.
Audience: Written for primary care practitioners, it also addresses the needs of medical educators and academicians, by including sections on "Learning and Teaching" and "Research on Patient-Centered Communication." The authors are a team of well-respected researchers, educators, and clinicians in field of patient-physician communication.
Features: There are minimal illustrations, which are reasonably useful, but not crucial to the understanding of the content. The references include both historical and current research citations. The book is very readable with a clearly legible font, and the clinical vignettes clarify the concepts quite well.
Assessment: This is a useful book for medical educators and students of patient-physician communication skills. It could easily be used in a course on interviewing skills for medical students or residents. It would be less useful to active practitioners, although those who wish to improve their skills in this area would find this an interesting, enjoyable, and readable book.
Jane E. Corboy
This book is a concise description of a patient-centered model of patient-physician communication, written for clinicians, educators, and researchers. There are six key elements in the authors' model, each of which is illustrated by one or more clinical vignettes. The purpose is to describe and explore a model of physician-patient communication that emphasizes patients' needs rather than the traditional medical model. There is an emphasis on the theoretical basis of the model, for the purpose of education and research on patient-centered medicine. The authors clearly achieve the objective of describing and explaning of their model. Written for primary care practitioners, it also addresses the needs of medical educators and academicians, by including sections on Learning and Teaching and Research on Patient-Centered Communication. The authors are a team of well-respected researchers, educators, and clinicians in field of patient-physician communication. There are minimal illustrations, which are reasonably useful, but not crucial to the understanding of the content. The references include both historical and current research citations. The book is very readable with a clearly legible font, and the clinical vignettes clarify the concepts quite well. This is a useful book for medical educators and students of patient-physician communication skills. It could easily be used in a course on interviewing skills for medical students or residents. It would be less useful to active practitioners, although those who wish to improve their skills in this area would find this an interesting, enjoyable, and readable book.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780803956896
  • Publisher: SAGE Publications
  • Publication date: 3/28/1995
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 296
  • Product dimensions: 5.50 (w) x 8.40 (h) x 0.80 (d)

Table of Contents

Foreword
Acknowledgments
Introduction
1 Why We Need a New Clinical Method 1
2 Overview of the Patient-Centered Clinical Method 21
3 The First Component: Exploring Both the Disease and the Illness Experience 31
Being Understood: Case Illustrating Component 1 42
4 The Second Component: Understanding the Whole Person 44
Lost Dreams: Case Illustrating Component 2 56
5 The Third Component: Finding Common Ground 59
Breaking the Habit Is Hard to Do: Case Illustrating Component 3 70
6 The Fourth Component: Incorporating Prevention and Health Promotion 73
"An Ounce of Prevention ... A Pound of Cure": First Case Illustrating Component 4 85
Choices and Chances - Whose Responsibility? Second Case Illustrating Component 4 87
7 The Fifth Component: Enhancing the Patient-Doctor Relationship 89
Control and Reassurance: Case Illustrating Component 5 99
8 The Sixth Component: Being Realistic 102
"Show Me the Way to Go Home": Case Illustrating Component 6 111
9 Teaching the Patient-Centered Method: The Human Dimensions of Medical Education 117
10 Dealing With Common Difficulties in Learning and Teaching the Patient-Centered Method 132
11 Teaching the Patient-Centered Method: Instructional Methods 143
12 Teaching the Patient-Centered Method: Practical Tips 159
13 The Case Report as a Teaching Tool for Patient-Centered Communication 168
14 Studies of Health Outcomes and Patient-Centered Communication 185
15 Methods of Scoring Patient-Centeredness 191
16 Qualitative Approaches That Illuminate Patient-Centered Care 204
17 Patient-Doctor Relationships Over Time 216
Conclusions 229
Appendix 233
References 239
Index 257
About the Authors 265
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