|
|
|||
| |||||||||||||||||||||||||||||||
The practice of "patient-centered" or "biopsychosocial" care, long championed by Ian McWhinney and George Engel, rests on two basic principles. First, medical care must be firmly grounded in the patient's subjective experience of illness; to deal only with objectively defined phenomena such as ventricular function or creatinine clearance is not enough. Second, the patient and clinician must be collaborators, sharing responsibility for defining goals and problems, making decisions, and carrying out treatment plans.
To date, nearly all the discussion of patient-centered care has focused on the patient-clinician dyad. Through the Patient's Eyes moves this discussion to the level of medical
This article has been cited by other articles:
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | TERMS OF USE | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved. |