In the current era of health care reform, our predominantly
clinician-centered approaches stand in the way of real system
transformation. What could happen if clinicians instead
incorporated their patient's story into their appraisal and
treatment planning? This document examines such an approach. In
order to look more closely at how this could be accomplished in a
contemporary primary care clinic, a small test of change was
undertaken. Nurses were trained in patient-centered narrative
interviewing in order to gather information typically difficult to
obtain using a standard medical interviewing format. These nurses
were next placed in a variety of healthcare sites. Primary care
clinicians (PCCs) in these sites selected patients each clinician
felt was frustrating or difficult. The clinician arranged for the
nurse to interview these patients. After the interview, the nurse
and the PCC discussed the new information provided. The PCC then
determined if the information provided was valuable, whether it
actually changed their clinical decision-making regarding that
patient's diagnosis and treatment, and if their level of
frustration with the patient improved.
General
Imprint: |
Lap Lambert Academic Publishing
|
Country of origin: |
Germany |
Release date: |
June 2012 |
First published: |
June 2012 |
Authors: |
Michael Terry
|
Dimensions: |
229 x 152 x 5mm (L x W x T) |
Format: |
Paperback - Trade
|
Pages: |
88 |
ISBN-13: |
978-3-659-12080-0 |
Categories: |
Books >
Medicine >
Complementary medicine >
General
|
LSN: |
3-659-12080-4 |
Barcode: |
9783659120800 |
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