Patient-centered medicine is important for patients and physicians alike. Patients help steer the treatment and care they receive. Physicians are relieved from the burden of having to be godlike guardians of life and death. Both are able to dialogue about what the best course of action might be for this particular patient.
Yet in spite of the general effectiveness of patient-centeredness, write Dr. Edward Krupat, et al.,
it is reasonable to ask whether a one-size-fits-all approach to patient care is the best one.
Continue Reading “Thursday Review: “When Physicians and Patients Think Alike: Patient-Centered Beliefs and Their Impact on Satisfaction and Trust””
One of the most important concepts of my training in storytelling is one of the most overlooked.
The technical term is “The Space Between”. The idea is that one force alone is uninteresting, if not meaningless. It has to act with or against something else to be interesting and meaningful. This is a way of realizing that a story happens not because one person does something, but because a person does something to someone else. The Space Between, then, changes our thinking. Storytelling isn’t based on individuals, but is focused on the literal empty space between characters.
Continue Reading “Thursday Review: “Relationship-centered Care: A Constructive Reframing””
Dr. Moira A. Stewart, writing in the 1995 Canadian Medical Association Journal, writes that although there had been reviews of data exploring the
relation between communication and patient satisfaction,1 which
linked communication with quality of care,2 and others exploring the theory of physician-patient communication or how medical education could incorporate these ideas, none specifically looked at the relationship between communication and health outcomes.
Continue Reading “Thursday Review: “Effective Physician-Patient Communication and Health Outcomes””
Do Patients Actually Take Their Medications?
There is a growing drive to move healthcare, specifically the doctor-patient relationship, from a “benevolent paternalism”1, 2 to a system where patient and physician co-create a treatment plan which gives the patient both the best health outcome and the best quality of life.
By most indications, that drive to make patients collaborators in their own care has been superficial at best.3 For example, with regards to medication use, the preferred language has shifted from the right-and-wrong, black-and-white “compliant” towards the gentler connotation of “adherent”. The focus on patient-centered care again moved the language of medication to “concordant”, something agreed upon by both patient and physician.
Continue Reading “Thursday Review: “Challenges to physician-patient communication about medication use””