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Patient-Centered Medicine. Transforming the Clinical Method

ISBN: 9781032480596
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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.

Περιεχόμενα

Dedication

Preface

About the authors

List of contributors

Acknowledgements

 

PART ONE: OVERVIEW

1. Introduction

Moira Stewart, Judith Belle Brown, W Wayne Weston, Thomas R Freeman, Bridget L Ryan, and Carol L McWilliam

 

“The Man, the Poem, the Secret”: Case Illustrating All Components

Peter Lucassen

“Love in the Time of HIV”: Case Illustrating All Components

Sudit Ranade

 

2. The Evolution of Clinical Method

Ian R McWhinney

 

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

Introduction

Judith Belle Brown and Moira Stewart

 

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

Moira Stewart, Judith Belle Brown, Carol L McWilliam, Thomas R Freeman and W Wayne Weston

 

“Empowering A Teen’s Decision”: Case Illustrating Component 1

Melad Marbeen

“Indecision Around Contraceptive Use”: Case Illustrating Component 1

IkeOluwapo O Ajay and Omolara Lewechi-Uke

 

4. The Second Component: Understanding the Whole Person,

Section 1 ‒ Individual and Family

Judith Belle Brown and W Wayne Weston

 

“Now I Know What it’s Like”: Patient Voice Illustrating Component 2 – Individual and Family

Britta Laslo

“Finding a Voice”: Case Illustrating Component 2 – Individual and Family

Nisanthini Ravichandiran

 

5. The Second Component: Understanding the Whole Person

Section 2 ‒ Context

Thomas R Freeman, Judith Belle Brown and Carol L McWilliam

 

“The Power of Context and Continuity”: Case Illustrating Component 2 – Context

Peter Lucassen and Juul Houwen

 

6. The Third Component: Finding Common Ground

Judith Belle Brown, W Wayne Weston, Carol L McWilliam, Thomas R Freeman and Moira Stewart

 

“Agreeing to Disagree”: Case Illustrating Component 3

Eng Sing Lee

“The Cycle of Life”: Case Illustrating Component 3

Caroline Villa Martignoni Rebicki

 

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

Moira Stewart, Judith Belle Brown and Thomas R Freeman

 

“About Christine”: Case Illustrating Component 4

Jennifer K Johnson

“You Couldn’t Have Prevented This”: Case Illustrating Component 4

Olivia Reis

“A Man and a Woman”: Case Illustrating Component 4

Peter Lucassen

 

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

Introduction

Moira Stewart

 

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

Moira Stewart, Judith Belle Brown, Bridget L Ryan, Thomas R Freeman, Carol L McWilliam, Joan Mitchell, Lynn Brown, Lynn Shaw and Vera Henderson

 

“The Team was the Container for Her Story”: Case Illustrating a Team-Centered Approach

Lynn Brown

 

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

Moira Stewart, Bridget L Ryan and Thomas R Freeman

 

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

Introduction

Judith Belle Brown and W Wayne Weston

 

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

W Wayne Weston and Judith Belle Brown

 

“A Messenger”: Case Illustrating Becoming a Physician

Barry Lavallee and Judith Belle Brown

 

11. Learner-Centered Teaching

W Wayne Weston and Judith Belle Brown

 

“Being There”: Case Illustrating Being Learner-Centered

Christine Rivet and Judith Belle Brown

 

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

W Wayne Weston and Judith Belle Brown

 

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

Thomas R Freeman

 

“Janna: I’ve lost my support. He was my support, he did everything”

Thomas R Freeman

 

PART FIVE: RESEARCH ON PATIENT-CENTERED CARE

Introduction

Moira Stewart

 

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

Judith Belle Brown and Bridget L Ryan

 

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

Moira Stewart and Bridget L Ryan

 

16. Measuring Patient Perceptions of Patient-Centeredness

Moira Stewart, Judith Belle Brown, Bridget L Ryan and Leslie Meredith

 

17. Measuring Patient-Centeredness

Judith Belle Brown, Moira Stewart and Bridget L Ryan

 

PART SIX:

 

18. Conclusions

Moira Stewart

 

Index