Family medicine, health equity, healing relationship, patient satisfaction, person-centered medicine, population dynamics, primary care

Authors

  • Nabil Kurashi King Faisal University, Dammam, Kingdom of Saudi Arabia

DOI:

https://doi.org/10.5750/ijpcm.v2i1.187

Keywords:

Family medicine, health equity, healing relationship, patient satisfaction, person-centered medicine, population dynamics, primary care

Abstract

At the start of every Health Care Education Course with Family Doctors, I ask the question: “How many minutes do you spend in educating your patient about his/her disease during the consultation?”  Over the twenty years of my teaching I have received the model answer of “15 minutes.”  Then I will ask, “How many times a year have you met each of your patients?”  Generally, I receive the answer: “Around 4 times a year.”  The class will usually become aghast when they realize that each doctor sees every patient the equivalent of only one day out of 365 days.This vignette shows that family doctors do not practice patient-centered care, at least not in Saudi Arabia.  While patient-centredness is becoming widely used, in various forms, poorly understood it remains a concept in medical practice. Patient-centered care is certainly not any of the following: technology-centered, doctor-centered, hospital-centered and disease-centered. Definitions of patient-centered care seek to make the implicit in patient care explicit, but oversimplifications which may be appropriate for teaching and research fail to capture the indivisible whole of a healing relationship.

References

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Epstein, R.M. (2000). The science of patient-centered care. Journal of Family Practice 49, 805-807.

Epstein, R.M. & Street, R.L. (2011). The value and values of patient-centered care. Annal of Family Medicine 9, 100-103.

Ref details needed

Declaration of Alma-Ata. (1978). International Conference on Primary Care, Alma-Ata, USSR (6 – 12 September 1978).

World Health Report. (2008). Primary Health Care – now more than ever. Geneva: World Health Organization.

WHO. (2009). Report of an international conference on primary health care. Qatar Primary Health Care Conference: The Foundation of Health and Wellbeing.

Abdulhadi, N. (2007). Quality of Interaction between Primary Health-Care providers and patients with type 2 diabetes in Muscat, Oman. Stockholm: Karolinska Institutet Division of Public Health Sciences.

Saadia, Z., Rushdi, S., Alsheha, M., Saeed, H. & Rajab, M. (2010) A Study Of Knowledge Attitude And Practices Of Saudi Women Towards Diabetes Mellitus. A (KAP) Study in Al-Qassim Region. The Internet Journal of Health. 11 (2).

Miles, A. & Mezzich, J.E. (2011). The care of the patient and the soul of the clinic: person-centered medicine as an emergent model of modern clinical practice. International Journal of Person Centered Medicine 1 (2) 207-222.

Published

2012-03-31

Issue

Section

Contributions to the advancement of person-centered care