Patient Centered Medicine
การดูแลสุขภาพโดยยึดผู้ป่วยเป็นศูนย์กลาง
1. Exploring both the disease and the Illness Experience A. differential diagnosis B. Dimension of illness (idea, feeling, expectation, and effect on function) 2. Understanding the Whole person A. The “person” (life history and personal and developmental issues) B. The context (the family and anyone else involved in or affected by the patient‘s illness; the physical environment) 3. Finding common ground A. Problems and priorities B. Goals of treatment C. Roles of doctor and patient in management 4. Incorporating prevention and health promotion A. Health enhancement B. Risk reduction C. Early detection of disease D. Ameliorating effects of disease 5. Enhancing the patient and doctor relationship A. Characteristics of the Therapeutic relationship C. Caring and healing relationship D. Self- awareness E. Transference and counter transference 6. Being realistic A. Time B. Resources C. Team building
B. Sharing power
