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The Focus of Medical Care

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Whole Person Care

Abstract

We alluded to the separation of the disease from the patient in Chap. 1 as an important step in the relief of suffering and clarifying our different roles in caring for the patient. The resulting three elements in healthcare and their main relationships are the physician (or other healthcare worker), the patient, and the disease, with the relationship of the physician to disease denoted as curing and the relationship of the physician to the patient denoted as healing. Each of these aspects of medical care individually and in different combinations can become the primary focus of medical care.

“I would go without shirt or shoe Friend, tobacco or bread, Sooner than lose for a minute the two Separate sides to my head!”

Rudyard Kipling, The Two-Sided Man

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References

  1. Birkmeyer JD, Reames BN, McCulloch P, Carr AJ, Campbell WB, Wennberg JE. Variation in surgery 1. Understanding of regional variation in the use of surgery. Lancet. 2013;382:1121–9.

    Article  PubMed  PubMed Central  Google Scholar 

  2. McWhinney IR. Patient-centred and doctor-centred models of clinical decision making. In: Sheldon M, Brook J, Rector A, editors. Decision making in general practice. London: Stockton; 1985. p. 31–46.

    Chapter  Google Scholar 

  3. Coulter A. Chapter 4, Selecting treatments. In:Engaging patients in healthcare. New York: Open University Press; 2011. p. 58–82.

    Google Scholar 

  4. Manary MP, Boulding W, Staelin R, Glickman SW. The patient experience and health outcomes. New Engl J Med. 2013;368(3):201–3.

    Google Scholar 

  5. Murgia M. How smartphones are transforming healthcare. Powerful new apps are turning our phones into mobile medical clinics. Could this help solve the issue of rising healthcare costs? [Internet] Financial Times; 2017. [cited 2017 Jan 18]. Available from: https://www.ft.com/content/1efb95ba-d852-11e6-944b-e7eb37a6aa8e.

  6. 2015 Geneva Declaration on Person-Centered Primary Health Care [Internet]. Adopted by the participants of the 8th Geneva conference on person centered medicine on April 29, 2015 and released by the ICPCM Board on June 8, 2015. [cited 2017 Jan 18] Available from: http://www.personcenteredmedicine.org/doc/2015_Geneva_Declaration.pdf.

  7. Beach MC, Inui TS. Relationship-centered Care Research Network. Relationship-centered care: a constructive reframing. J Gen Intern Med. 2006;21(Suppl. 1):S3–8.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Tresolini CP, Pew-Fetzer Task Force. Health professions education and relationship-centered Care [monograph]. San Francisco: Pew Health Professions Commission; 1994.

    Google Scholar 

  9. Suchman A. A new theoretical foundation for relationship-centered care. Complex responsive processes of relating. J Gen Intern Med. 2006;21(Suppl 1):S40–4.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Suchman A. Chapter 4, Relationship-centered care and administration. In: Suchman A, Sluyter DJ, Williamson PR, editors. Leading change in healthcare. Transforming organizations using complexity, positive psychology and relationship-centered care. New York: Radcliffe Publishing; 2011. p. 35–42.

    Google Scholar 

  11. Williamson PR, Baldwin DC, Cottingham AH, Frankel R, Inui TS, Litzelman DK, et al. Chapter 13, Transforming the professional culture of a medical school from the inside out. In: Suchman A, Sluyter DJ, Williamson PR, editors. Leading change in healthcare. Transforming organizations using complexity, positive psychology and relationship-centered care. New York: Radcliffe Publishing; 2011. p. 265–308.

    Google Scholar 

  12. Hutchinson TA, Hutchinson N, Arnaert A. Whole person care: encompassing the two faces of medicine. CMAJ. 2009;180(8):845–6.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Hutchinson TA, Brawer JR. Chapter 4, The challenge of medical dichotomies and the congruent physician-patient relationship in medicine. In: Hutchinson TA, editor. Whole person care a new paradigm for the 21st century. New York: Springer; 2011. p. 31–44.

    Google Scholar 

  14. Kearney M. Ways of seeing. In: A place of healing. Working with suffering in living and dying. New York: Oxford University Press; 2000. p. 15–38.

    Google Scholar 

  15. Westley F, Zimmerman B, Patton MQ. The first light of evening. In:Getting to maybe: how the world is changed. Toronto, Vintage Canada; 2007. p. 3–28.

    Google Scholar 

  16. Watzlawick P, Bavelas JB, Jackson DD. Chapter 2, Some tentative axioms of communication. In:Pragmatics of human communication: a study of interactional patterns, pathologies, and paradoxes. New York: WW Norton; 1967. p. 48–71.

    Google Scholar 

  17. Guggenbühl-Craig A. Chapter 12, The splitting of the archetype. In:Power in the helping professions. Putman: Spring Publications; 1971. p. 83–6.

    Google Scholar 

  18. Davies R. Can a doctor be a humanist? In:The merry heart: selections 1980-1995. Toronto: Penguin; 1997. p. 90–110.

    Google Scholar 

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Hutchinson, T.A. (2017). The Focus of Medical Care. In: Whole Person Care. Springer, Cham. https://doi.org/10.1007/978-3-319-59005-9_4

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  • DOI: https://doi.org/10.1007/978-3-319-59005-9_4

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