Patient-centredness: a conceptual framework and review of the empirical literature.

The effective practice of medicine requires narrative competence, that is, the ability to acknowledge, absorb, interpret, and act on the stories and plights of others. Medicine practiced with narrative competence, called narrative medicine, is proposed as a model for humane and effective medical practice. Adopting methods such as close reading of literature and reflective writing allows narrative medicine to examine and illuminate 4 of medicine's central narrative situations: physician and patient, physician and self, physician and colleagues, and physicians and society. With narrative competence, physicians can reach and join their patients in illness, recognize their own personal journeys through medicine, acknowledge kinship with and duties toward other health care professionals, and inaugurate consequential discourse with the public about health care. By bridging the divides that separate physicians from patients, themselves, colleagues, and society, narrative medicine offers fresh opportunities for respectful, empathic, and nourishing medical care.

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Narrative Medicine: A Model for Empathy, Reflection, Profession, and Trust

https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(00)04169-6.pdf

Influence of context effects on health outcomes: a systematic review.

Interventions for providers to promote a patient-centred approach in clinical consultations. A systematic review.

This report was compiled on behalf of the staff at the Northern General Hospital, Sheffield, the staff at the Royal Hallamshire Hospital, Sheffield, and the many people who helped at the scene. The efforts of hundreds of professionals and volunteers were vital and greatly appreciated. We thank Neil Appleyard, David Edbrooke, David Dawson, Stuart Yates, Ian Winston, John Duncan, G A Baker, Charlie Cooper, Kath Sherry, Tim Shaw, and A Moss for access to the neuropsychological reports on some of the survivors.

https://www.bmj.com/content/bmj/303/6814/1385.full.pdf

Doctor-patient communication: the Toronto consensus statement.

may make for difficulty and perhaps the work could be improved by better integration of the chapters. This is not an adverse criticism of the book. It is merely a constructive criticism for the future, for there is no doubt that this work is the most useful book on operative obstetrics today in the English language. It is also the most beautifully produced and one of the most worth-while books on obstetrics in the whole of modern medical literature. E.E.P.

DA Pond

Papers

The Doctor, His Patient and the Illness