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Patient-Centered Medicine
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Patient-Centered Medicine
Transforming the Clinical Method

  • Moira A. Stewart - Western University, Ontario, Thunderbird, The Garvin Graduate School of International Management
  • Judith Belle Brown - Thunderbird, The Garvin Graduate School of International Management
  • W. Wayne Weston - Thunderbird, The Garvin Graduate School of International Management
  • Ian R. McWhinney - Thunderbird, The Garvin Graduate School of International Management
  • Carol L. McWilliam - Thunderbird, The Garvin Graduate School of International Management
  • Thomas R. Freeman - Thunderbird, The Garvin Graduate School of International Management

March 1995 | 296 pages | SAGE Publications, Inc

This excellent book is the definitive work on an old but still evolving concept. . . . What impressed me most about the book is that the authors practice what they preach. The reader is treated the same way that the authors exhort us to treat our patients--with respect, tolerance, understanding, and caring."

--Canadian Medical Association

"This book is a concise description of a patient-centered model of patient 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, for the purpose of education and research on patient-centered medicine. The authors clearly achieve the objective of describing and explaining their model."

--Doody's Health Sciences Book Review Journal

"This book provides an excellent discussion of many of the issues related to patient-centered medicine. The authors outline the six interacting components, which are the assessment of disease and illness; the integration of that assessment with the understanding of the whole person finding common ground between the doctor and the patient; using each visit as an opportunity to build on the relationship; prevention and promotion; and throughout the process being realistic concerning the time, resources and energy needed. . . . Because occupational therapists work as members of a multidisciplinary team, this text is an excellent overview and discussion of the position of another discipline on issues related to patient-centered practice. As such, it broadens our understanding of the implications of applying this approach."

--British Journal of Occupational Therapy

The evolution of attitudes and roles in society are 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 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 thus achieve greater results.

Professionals and advanced students in all health care fields will appreciate this illuminating and provocative volume.


Moira Stewart and W Wayne Weston
Introduction
Ian R McWhinney
Why We Need a New Clinical Method
 
PART ONE: THE CONCEPTS
W Wayne Weston and Judith Belle Brown
Overview of the Patient-Centered Clinical Method
Judith Belle Brown, W Wayne Weston and Moira Stewart
The First Component
Exploring both the Disease and the Illness Experience

 
Judith Belle Brown, W Wayne Weston and Moira Stewart
Being Understood: Case Illustrating Component 1
Judith Belle Brown and W Wayne Weston
The Second Component
Understanding the Whole Person

 
Judith Belle Brown
Lost Dreams: Case Illustrating Component 2
Judith Belle Brown, W Wayne Weston and Moira Stewart
The Third Component
Finding Common Ground

 
Martin J Bass and Judith Belle Brown
Breaking the Habit is Hard to Do: Case Illustrating Component 3
Carol L McWilliam and Thomas R Freeman
The Fourth Component
Incorporating Prevention and Health Promotion

 
Thomas R Freeman, Moira Stewart and Judith Belle Brown
"An Ounce of Prevention...A Pound of Cure": First Case Illustrating Component 4
Carol L McWilliam and Judith Belle Brown
Choices and Chances - Whose Responsibility?: Second Case Illustrating Component 4
Moira Stewart, Judith Belle Brown and Ian R McWhinney
The Fifth Component
Enhancing the Relationship

 
Moira Stewart, Judith Belle Brown and W Wayne Weston
Control and Reassurance: Case Illustrating Component 5
Judith Belle Brown, Carol L McWilliam and W Wayne Weston
The Sixth Component
Being Realistic

 
Carol L McWilliam, Judith Belle Brown and John Yaphe
"Show Me the Way to Go Home": Case Illustrating Component 6
 
PART TWO: LEARNING AND TEACHING
W Wayne Weston and Judith Belle Brown
Teaching the Patient-Centered Method
The Human Dimensions of Medical Education

 
W Wayne Weston and Judith Belle Brown
Dealing with Common Difficulties in Learning and Teaching the Patient-Centered Method
W Wayne Weston and Judith Belle Brown
Teaching the Patient-Centered Method
Instructional Methods

 
W Wayne Weston and Judith Belle Brown
Teaching the Patient-Centered Method
Practical Tips

 
Thomas R Freeman
The Case Report as a Teaching Tool for Patient-Centered Communication
 
PART THREE: RESEARCH ON PATIENT-CENTERED COMMUNICATION
Moira Stewart
Studies of Health Outcomes and Patient-Centered Communication
Moira Stewart
Methods of Scoring Patient-Centeredness
Carol L McWilliam
Qualitative Approaches that Illuminate Patient-Centered Care
Moira Stewart
Patient-Doctor Relationships over Time
Moira Stewart
Conclusion: Opportunities for the Future

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ISBN: 9780803956896
$80.00