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Volume 330:873 March 24, 1994 Number 12

Through the Patient's Eyes: Understanding and Promoting Patient-Centered Care

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Edited by Margaret Gerteis, Susan Edgman-Levitan, Jennifer Daley, and Thomas L. Delbanco. 317 pp. San Francisco, Jossey-Bass, 1993. $29.95. ISBN 0-1-55542-544-5.

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 . . . [Full Text of this Article]


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