Patient-Centered Medicine

The Patient-Centered Clinical Method has been a core tenet of the practice and teaching of medicine since the first edition published in 1995. This fourth edition continues to define the principles underpinning the patient-centered clinical method using four major components, clarifying its evolution and consequent development.

The Patient-Centered Clinical Method (PCCM) has been a core tenet of the practice and teaching of medicine since the first edition of Patient-Centered Medicine - Transforming the Clinical Method was published in 1995. This timely fourth edition continues to define the principles underpinning the patient-centered clinical method using four major components, clarifying its evolution and consequent development, and it brings the reader fully up to date. It reinforces the relevance of the method in the current much-changed realities of health care in a world where virtual care will remain common, dependence on technology is rising, and societal changes away from compassion, equity, and relationships toward confrontation, inequity, and self-absorption.

Fully revised by its highly experienced author team ensuring wide interest and written for those practising now and for the practitioners of the future, this new edition will be welcomed by a wide international audience comprising all health professionals from medicine, nursing, social work, occupational therapy, physical therapy, pharmacy, veterinary medicine, and other fields.

Autorentext

Moira Stewart, PhD, is a Distinguished University Professor Emeritus at the Centre for Studies in Family Medicine at Western University Canada and the Dr Brian W Gilbert Tier 1 Canada Research Chair in Primary Health Care Research (2003-2017). Dr Stewart has published widely on the topic of Patient-centered Care.

Judith Belle Brown, PhD, is a Professor in the Centre for Studies in Family Medicine, the Department of Family Medicine, Schulich School of Medicine & Dentistry at Western University, London, Ontario, Canada. She is the Chair of the Masters in Clinical Science (MClSc) and PhD programs in Family Medicine at Western, both of which are offered via distance education. She is the Co-Chair of TUTOR-PHC an interdisciplinary research training program.

W Wayne Weston, MD, CCFP, FCFP, is Professor Emeritus of Family Medicine at the Schulich School of Medicine & Dentistry, Western University, Canada. He had a key role in creating the Center for Education Research and Innovation at Western.

Bridget L Ryan, PhD, is an Epidemiologist and Associate Professor at the Centre for Studies in Family Medicine, and the Departments of Family Medicine and Epidemiology and Biostatistics at Western University, London, Ontario, Canada. She is Co-Principal Investigator on a CIHR grant developing primary-care-based digital tools to support family physicians and patients to talk about social isolation and health.

Carol L McWilliam, MScN, EdD, is a retired Professor in the Arthur Labatt Family School of Nursing, Faculty of Health Sciences, at Western University, London, Canada. She conducts research in the areas of health promotion, health services delivery, and relationship building, with a focus on patient-professional and inter-professional communication.

Ian R McWhinney, OC, MD, FCFP, FRCP, (1926-2012) was Professor Emeritus in the Department of Family Medicine at Western University, Canada. He was born in Burnley, Lancashire and educated at Cambridge University and St. Bartholomew's Hospital Medical School.

Inhalt

Dedication

Preface

About the authors

List of contributors

Acknowledgements

PART ONE: OVERVIEW

1. Introduction

2. The Evolution of Clinical Method

PART TWO: THE FOUR COMPONENTS OF THE PATIENT-CENTERED CLINICAL METHOD

Introduction

3. The First Component: Exploring Health, Disease and the Illness Experience

4. The Second Component: Understanding the Whole Person,

Section 1 Individual and Family

5. The Second Component: Understanding the Whole Person

Section 2 Context

6. The Third Component: Finding Common Ground

7. The Fourth Component: Enhancing The Patient-Clinician Relationship

PART THREE: APPLICATIONS OF PATIENT-CENTERED PRINCIPLES IN A VARIETY OF HEALTH CARE CONTEXTS

8. Team-Centered Approach: How to Build and Sustain a Team

9. Patient-Centered Approaches in the Face of New Technologies

PART FOUR: LEARNING AND TEACHING THE PATIENT-CENTERED CLINICAL METHOD

10. Becoming a Physician: The Human Experience of Medical Education

11. Learner-Centered Teaching

12. Challenges in Learning and Teaching the Patient-Centered Clinical Method

13. The Case Presentation as a Teaching Tool for Patient-Centered Care

PART FIVE: RESEARCH ON PATIENT-CENTERED CARE

14. Using Qualitative Methodologies and Mixed Methods Approaches to Illuminate Patient-Centered Care

15. Evidence of the Impact of Patient-Centered Care on Clinician Well-being and Patient Outcomes

16. Measuring Patient Perceptions of Patient-Centeredness

17. Measuring Patient-Centeredness

PART SIX

18. Conclusions

Index